Individual
CYNTHIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
(209) 523-1296
Mailing address
704 BANFF DR, NEWMAN, CA 95360-9510
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-ZMILAX
CA
Other
Enumeration date
04/09/2024
Last updated
04/24/2025
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