Individual
CANDIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 N ENSENADA CIR SE, RIO RANCHO, NM 87124-8921
(505) 520-5041
Mailing address
2024 N ENSENADA CIR SE, RIO RANCHO, NM 87124-8921
(505) 520-5041
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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