RAYMOND LOPEZ

Licensed Psychiatric Technician

Active Individual
NPI: 1104590470

Practice Address

14677 MERRILL AVE
Fontana, CA 92335

Phone: (951) 643-2340

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes 42062 (CA)

Frequently Asked Questions

NPI 1104590470 is the National Provider Identifier for RAYMOND LOPEZ, a Licensed Psychiatric Technician provider located in Fontana, CA. This NPI was enumerated on August 2, 2021.
RAYMOND LOPEZ practices at 14677 MERRILL AVE, Fontana, CA 92335.

Quick Facts

NPI
1104590470
Type
Individual
Enumerated
Aug 2, 2021
Last Updated
Aug 2, 2021

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