RAYMOND LOPEZ

FONTANA, CA
NPI1104590470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  42062)
Enumeration Date2021-08-02
Last Update Date2021-08-02
Business Address
RAYMOND LOPEZ
14677 MERRILL AVE
FONTANA, CA 92335-4219
Phone number: 951-643-2340
Mailing Address
RAYMOND LOPEZ
8950 MAGNOLIA AVE UNIT 213
MONTCLAIR, CA 91763-1461
Phone number: 909-605-3303
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