Individual
ALAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 SUTTER ST UNIT 120, SAN FRANCISCO, CA 94104-9004
(619) 704-5494
Mailing address
685 WOODLAWN AVE, CHULA VISTA, CA 91910-5222
(619) 704-5494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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