DOMASIO YGNASIO LOPEZ

SACRAMENTO, CA
NPI1811137375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  2428)
Enumeration Date2009-02-24
Last Update Date2009-02-24
Business Address
Mr. DOMASIO YGNASIO LOPEZ
1820 J ST
SACRAMENTO, CA 95811-3010
Phone number: 916-313-8417
Mailing Address
Mr. DOMASIO YGNASIO LOPEZ
8642 NEW ISLAND WAY
SACRAMENTO, CA 95828-7548
Phone number: 916-876-5432
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