Individual
AILLETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12537 BAKER CT., CHINO, CA 91710
(909) 248-5792
Mailing address
12537 BAKER CT., CHINO, CA 91710
(909) 248-5792
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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