Individual
MS. MARIA ISABEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1057 R ST, FRESNO, CA 93721-1312
(559) 417-9550
Mailing address
385 SYLMAR AVE APT 112, CLOVIS, CA 93612-0793
(559) 417-9550
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
79938
CA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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