Jessie Marie Welch

NPI #1508339318 in Mira Loma, California

Provider Information

NPI Number: 1508339318
Entity Type: Individual
Name: Jessie Marie Welch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 3, 2019
Last Updated: Jan 3, 2019

Practice Location

Address: 6230 MANN AVE
City: Mira Loma
State: California
ZIP Code: 91752-2618
Phone: (909) 259-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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