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Individual

ALAN LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2820 CAMINO DEL RIO S STE 100, SAN DIEGO, CA 92108-3822
(858) 264-5858
Mailing address
2820 CAMINO DEL RIO S STE 100, SAN DIEGO, CA 92108-3822
(858) 264-5858

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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