MAXIMILIAN VALENTINE C LOPEZ

VICTORVILLE, CA
NPI1982393500
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
MAXIMILIAN VALENTINE C LOPEZ
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
Mailing Address
MAXIMILIAN VALENTINE C LOPEZ
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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