MIGUEL EZEQUIEL LOPEZ

SAN JOSE, CA
NPI1104413640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  121052)
Enumeration Date2020-12-30
Last Update Date2023-02-13
Business Address
MIGUEL EZEQUIEL LOPEZ
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 209-468-2385
Mailing Address
MIGUEL EZEQUIEL LOPEZ
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-287-6200
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