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Individual
SELINA LOPEZ FLORES
Active
Individual
SELINA LOPEZ FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L V N
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN209128
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS 012560
—
CA
Enumeration date
01/29/2008
Last updated
01/29/2008
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