Individual
MS. TANIA GUADALUPE LOPEZ-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4312 BELLVILLE DR, LINCOLN, NE 68521-1528
(402) 840-2623
Mailing address
4312 BELLVILLE DR, LINCOLN, NE 68521-1528
(402) 840-2623
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NE
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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