Individual
ASHLEY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10422 SAN GREGORIO DR NW, ALBUQUERQUE, NM 87114-4760
(505) 604-7838
Mailing address
10422 SAN GREGORIO DR NW, ALBUQUERQUE, NM 87114-4760
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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