Individual
CARLY BOOTH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 S JEFFERSON ST APT 45C, 45C, PLACENTIA, CA 92870-8475
(562) 652-6886
Mailing address
310 S JEFFERSON ST APT 45C, PLACENTIA, CA 92870-8475
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
D5297624
CA
Other
Enumeration date
10/07/2025
Last updated
10/24/2025
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