Individual
CHRISTINE MARIKA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4925
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/30/2022
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