Individual
MRS. AUDREY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 966-3800
Mailing address
4660 MEADOW DR, CARLSBAD, CA 92010-5540
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN-392347
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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