Individual
JUAN ULISES LOPEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1310 M ST, FRESNO, CA 93721-1808
(559) 264-2700
Mailing address
5127 E LIBERTY AVE, FRESNO, CA 93727-5262
(559) 813-4555
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
750650
CA
Other
Enumeration date
07/07/2025
Last updated
01/31/2026
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