Individual
CHRISTIAN ALBERTO MOLINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 N 32ND ST STE 201A, PHOENIX, AZ 85018-3397
(480) 799-5079
(866) 833-2056
Mailing address
4500 N 32ND ST STE 201A, PHOENIX, AZ 85018-3397
(480) 799-5079
(866) 833-2056
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-40491
AZ
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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