Individual
IVANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14772 PIPELINE AVE, CHINO HILLS, CA 91709-6027
(909) 606-0886
Mailing address
14772 PIPELINE AVE, CHINO HILLS, CA 91709-6027
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3135
CA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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