Basia Lopez

NPI #1306361548 in West Valley, Utah

Provider Information

NPI Number
1306361548
Entity Type
Individual
Name
Basia Lopez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Aug 9, 2017
Last Updated
Aug 9, 2017

Practice Location

Address
5698 W GLEN EAGLE DR
State
Utah
ZIP Code
84128-4013
Phone
(801) 969-4181

Specialties & Taxonomy Codes

Specialty
Counselor

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