JUAN LOPEZ

BOISE, ID
NPI1205705928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2025-10-31
Last Update Date2025-10-31
Business Address
JUAN LOPEZ
148 S COLE RD
BOISE, ID 83709-0932
Phone number: 208-683-8320
Mailing Address
JUAN LOPEZ
148 S COLE RD
BOISE, ID 83709-0932
Phone number: