Individual
DIANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2040 CAMFIELD AVE, COMMERCE, CA 90040-1502
(323) 725-8751
Mailing address
2040 CAMFIELD AVE, COMMERCE, CA 90040-1502
(323) 725-8751
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN195732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VN195732
BOARD OF VOCATIONAL NURSING (LVN)
CA
Enumeration date
11/02/2018
Last updated
11/02/2018
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