Individual
IVONNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2695 S 4TH ST, EL CENTRO, CA 92243-6012
(760) 482-2100
(760) 482-2985
Mailing address
2695 S 4TH ST, EL CENTRO, CA 92243-6012
(760) 482-2100
(760) 482-2985
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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