MIGUEL EZEQUIEL LOPEZ

MODESTO, CA
NPI1104413640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  155022)
Enumeration Date2020-12-30
Last Update Date2025-06-26
Business Address
MIGUEL EZEQUIEL LOPEZ
PO BOX 577924
MODESTO, CA 95357-7924
Phone number: 094-123-4252
Mailing Address
MIGUEL EZEQUIEL LOPEZ
PO BOX 577924
MODESTO, CA 95357-7924
Phone number: 094-123-4252
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