Individual
AKEIMO MAATIFA ELEASARO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73271 FRED WARING DR STE 102, PALM DESERT, CA 92260-2889
(760) 469-9650
Mailing address
5850 GRANITE PKWY STE 600, PLANO, TX 75024-6753
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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