Individual
ROSALBA HERNANDEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2841 G ST, MERCED, CA 95340-2133
(209) 382-4260
Mailing address
2841 G ST, MERCED, CA 95340-2133
(209) 382-4260
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
04/12/2021
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