Individual
BRITTANY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 N BROADWAY STE 101, SANTA MARIA, CA 93454-1940
(805) 739-3890
(805) 347-7697
Mailing address
1745 N BROADWAY STE 101, SANTA MARIA, CA 93454-1940
(805) 739-3890
(805) 347-7697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60631
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2020
Last updated
11/02/2023
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