Individual
JULIAN MANUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
(505) 717-1332
Mailing address
4201 CARLISLE BLVD NE, ALBUQUERQUE, NM 87107-4808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NM
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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