Individual
ASUZENA CRUZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 LAMOILLE HW, SUITE 103, ELKO, NV 89801
(775) 777-1292
Mailing address
6155 AMOS DR, WINNEMUCCA, NV 89445-4769
(775) 304-7951
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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