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Individual
KENNETH ALEXANDER LOPEZ
Active
Individual
KENNETH ALEXANDER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
759537
CA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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