Individual
AXEL ROBLEDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 W CLINTON AVE BLDG A, FRESNO, CA 93705-4206
(559) 264-7521
Mailing address
2550 W CLINTON AVE BLDG A, FRESNO, CA 93705-4206
(559) 264-7521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
11/06/2023
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