Individual
AMY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19312 E NAVILLA PL, COVINA, CA 91723-3243
(626) 625-2859
Mailing address
19312 E NAVILLA PL, COVINA, CA 91723-3243
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1725
CA
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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