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1841608023
ROWENA MIRANDA LOPEZ
ROSEVILLE, CA
NPI
1841608023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-31
Last Update Date
2014-10-15
Business Address
-- ROWENA MIRANDA LOPEZ
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6456
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Mailing Address
-- ROWENA MIRANDA LOPEZ
1003 RIO CIDADE WAY
SACRAMENTO, CA 95831-4467
Phone number: 916-996-1248
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