Individual
MRS. AURELIA E LOPEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
82297 MILES AVE, INDIO, CA 92201-4116
(760) 342-2422
Mailing address
81960 TOURNAMENT WAY, INDIO, CA 92201-3047
(760) 347-9164
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 61670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EPS012150
MEDICAL
CA
Enumeration date
05/02/2007
Last updated
07/08/2007
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