Individual
MALIAH AMEYALI LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9645 ARROW RTE STE A, RANCHO CUCAMONGA, CA 91730-4554
(909) 948-5747
Mailing address
1609 S PLEASANT AVE, ONTARIO, CA 91761-4325
(909) 418-8986
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
Y3016594
CA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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