Individual
MISS LILIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14820 MARTELL AVE, SAN LEANDRO, CA 94578-4417
(510) 457-5582
Mailing address
14820 MARTELL AVE, SAN LEANDRO, CA 94578-4417
(510) 457-5582
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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