Individual
ADRIAN ELENES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1245 N 5TH PL, PORT HUENEME, CA 93041-2512
(805) 512-6435
Mailing address
1245 N 5TH PL, PORT HUENEME, CA 93041-2512
(805) 512-6435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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