GLENN ANTHONY PATRIMONIO LOPEZ

ELK GROVE, CA
NPI1851029391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-08-11
Last Update Date2022-08-11
Business Address
GLENN ANTHONY PATRIMONIO LOPEZ
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624-9476
Phone number: 916-683-1109
Mailing Address
GLENN ANTHONY PATRIMONIO LOPEZ
PO BOX 5157
MODESTO, CA 95352-5157
Phone number:
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