Individual
CELENA JANICE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 EL TORO CIR, CORONA, CA 92882-3733
(714) 883-4109
Mailing address
1803 EL TORO CIR, CORONA, CA 92882-3733
(714) 883-4109
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
255675
CA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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