RAYMOND BENJAMIN LOPEZ

PROVO, UT
NPI1306464672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: UT  171M00000X)
Enumeration Date2020-07-13
Last Update Date2020-07-13
Business Address
RAYMOND BENJAMIN LOPEZ CNA
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-7394
Mailing Address
RAYMOND BENJAMIN LOPEZ CNA
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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