Individual
DARLYN GRACE BANO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
187 E WILBUR RD STE 101, THOUSAND OAKS, CA 91360-5572
(805) 328-7173
Mailing address
634 NOBLE RD, SIMI VALLEY, CA 93065-5339
(805) 328-7173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95016283
CA
Other
Enumeration date
12/18/2020
Last updated
05/01/2024
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