Individual
PERLA ADILENE LOPEZ JAUREGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 NICOLS RD. #104, EAGAN, MN 55122
(612) 289-2941
Mailing address
5534 PENN AVE S, MINNEAPOLIS, MN 55419
(952) 855-3578
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MN
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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