MR. Christian Josue Lopez, 175T00000X

NPI #1316509284 in Kenmore, New York

Provider Information

NPI Number: 1316509284
Entity Type: Individual
Name: MR. Christian Josue Lopez, 175T00000X
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: 175T00000X
Enumeration Date: Jul 1, 2019
Last Updated: Jul 1, 2019

Practice Location

Address: 262 WOODWARD AVE
City: Kenmore
State: New York
ZIP Code: 14217-1539
Phone: (716) 566-7771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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