Individual
AINA ANDREA LAZOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 COLORADO AVE, TURLOCK, CA 95382-2713
(209) 342-7353
Mailing address
1620 COLORADO AVE, TURLOCK, CA 95382-2713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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