Individual
BELESHIA NYGEA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 3RD AVE, LOS ANGELES, CA 90008-2706
(213) 479-2943
(323) 792-4464
Mailing address
PO BOX 561571, LOS ANGELES, CA 90056-0238
(213) 479-2943
(323) 792-4464
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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