Tracy Jo Lopez
NPI #1699901751 in Azusa, California
Provider Information
- NPI Number
- 1699901751
- Entity Type
- Individual
- Name
- Tracy Jo Lopez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Jun 3, 2009
- Last Updated
- Jun 3, 2009
Practice Location
- Address
- 23701 E EAST FORK RD
- City
- Azusa
- State
- California
- ZIP Code
- 91702-1477
- Phone
- (626) 910-1202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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