Individual
MRS. DOLORES A. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 SAN ROQUE DRIVE, WALNUT, CA 91789
(626) 466-5362
Mailing address
335 SAN ROQUE DRIVE, WALNUT, CA 91789
(626) 466-5362
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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