Individual
ISABELLA VICTORIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(800) 442-2762
Mailing address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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