Individual
CRISTIAN LOMELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
585 MOLLY LN, WOODSTOCK, GA 30189-3721
(877) 288-4760
Mailing address
585 MOLLY LN, WOODSTOCK, GA 30189-3721
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
10/17/2023
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