Individual
ANTHONY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5344 GENESIS LN TRLR B, LAS CRUCES, NM 88012-7912
(575) 993-4290
Mailing address
5344 GENESIS LN TRLR B, LAS CRUCES, NM 88012-7912
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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