Individual
ERIC VIVEROS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3115 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-2382
Mailing address
3433 W SHAW AVE STE 108, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
12/18/2024
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