Individual
DAYANA LOPEZ CHAVARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 S HARGRAVE ST, BANNING, CA 92220-6169
(951) 922-7612
Mailing address
1627 S HARGRAVE ST, BANNING, CA 92220-6169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/28/2016
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