Individual
CHARLENE ALIZE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S HAVEN AVE STE 190, ONTARIO, CA 91761-2971
(909) 390-1313
Mailing address
6713 JASMINE CT, CHINO, CA 91710-2870
(909) 773-8245
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
08/04/2023
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