Individual
ANALISE CANTU LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 9TH ST STE C, MODESTO, CA 95350-5814
(209) 558-4598
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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