Individual
JOVANA LOPEZ LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 N ATLANTIC ST, SPOKANE, WA 99205-4804
(800) 781-5536
Mailing address
5435 ENTIAT RIVER RD, ENTIAT, WA 98822-9724
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB70007826
WA
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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