Individual
ANGELLA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 E LOCUST AVE STE 110, FRESNO, CA 93720-3000
(559) 801-2626
Mailing address
420 BULLARD AVE STE 104, CLOVIS, CA 93612-1054
(559) 801-2626
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14378
CA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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