Individual
STEPHANIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 DALE RD STE 2A2, MODESTO, CA 95356-9718
(209) 735-7040
Mailing address
4601 DALE RD STE 2A2, MODESTO, CA 95356-9718
(209) 735-7040
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4071
CA
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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