Individual
CECILYANA LAJARA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 W FALLBROOK AVE STE 103, FRESNO, CA 93711-6138
(562) 397-1070
Mailing address
423 W FALLBROOK AVE STE 103, FRESNO, CA 93711-6138
(562) 397-1070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9841
CA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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