Individual
MARITZA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9570 CENTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-5842
(909) 980-2789
(909) 980-2689
Mailing address
9570 CENTER AVE STE 110, RANCHO CUCAMONGA, CA 91730-5842
(909) 980-2789
(909) 980-2689
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
10/20/2022
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