Individual
LYNETTE JAIMEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
1800 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3302
(661) 631-6327
Mailing address
1800 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-3302
(661) 631-6327
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95153565
CA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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