Individual
ADRIAN JAKE DELACRUZ CALARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 PENINSULA AVE, SAN MATEO, CA 94401-1653
(650) 286-4396
Mailing address
38 NELSON CT, DALY CITY, CA 94015-2820
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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