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Individual
TESLA YAMILETH LOPEZ-ORTEGA
Active
Individual
TESLA YAMILETH LOPEZ-ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
758597
CA
363LF0000X
Family Nurse Practitioner
Primary
95030414
CA
Other
Enumeration date
04/26/2010
Last updated
10/25/2024
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