Individual
LORENAMAE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3005 APPARI CT, LAS VEGAS, NV 89141-3027
(323) 828-0490
Mailing address
3005 APPARI CT, LAS VEGAS, NV 89141-3027
(323) 828-0490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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