Individual
ALEJANDRO LOPEZ GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7520 S SHINGLE RD, SHINGLE SPRINGS, CA 95682-8081
(916) 280-4678
(208) 518-1286
Mailing address
PO BOX 4751, EL DORADO HILLS, CA 95762-0023
(916) 280-4678
(208) 518-1286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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