Raymond Lopez
NPI #1104590470 in Fontana, California
Provider Information
- NPI Number
- 1104590470
- Entity Type
- Individual
- Name
- Raymond Lopez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Aug 2, 2021
- Last Updated
- Aug 2, 2021
Practice Location
- Address
- 14677 MERRILL AVE
- City
- Fontana
- State
- California
- ZIP Code
- 92335-4219
- Phone
- (951) 643-2340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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