Individual
MISS MARIA DANETTE INFANTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-5947
Mailing address
9918 CAMPORA WAY, STOCKTON, CA 95209-4502
(209) 642-0115
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN 507876
CA
Other
Enumeration date
11/09/2005
Last updated
01/14/2022
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