Individual
RAMON ANGEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
2239 W CENTRAL AVE, COOLIDGE, AZ 85128-3231
(520) 858-6631
Mailing address
2239 W CENTRAL AVE, COOLIDGE, AZ 85128-3231
(520) 858-6631
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
Q02202313746
AZ
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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