Individual
MS. LEEZETT ANDREA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN, CCRN
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(833) 574-2273
Mailing address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
837949
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001634
CA
Other
Enumeration date
07/06/2017
Last updated
03/30/2022
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