Individual
MS. MARIA GUADALUPE LOPEZ PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MCHENRY VILLAGE WAY STE 14, MODESTO, CA 95350-4339
(209) 312-9580
(209) 312-9584
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 669-6771
(209) 669-6786
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
05/15/2025
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