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Individual

CHARLENE LOPEZ CELESTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
402 S PROSPECTORS RD STE I, DIAMOND BAR, CA 91765-1618
(909) 922-2497
Mailing address
402 S PROSPECTORS RD STE I, DIAMOND BAR, CA 91765-1618

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225X00000X
Occupational Therapist
Primary
23610
CA

Other

Enumeration date
03/27/2019
Last updated
07/10/2025
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