JORGE BRIAN LOPEZ MANRIQUEZ

FAIRFIELD, CA
NPI1710704945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-09-19
Last Update Date2024-09-19
Business Address
JORGE BRIAN LOPEZ MANRIQUEZ
2450 MARTIN RD STE 100
FAIRFIELD, CA 94534-1018
Phone number: 855-223-7123
Mailing Address
JORGE BRIAN LOPEZ MANRIQUEZ
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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