Individual
JESENA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FDN
Contact information
Practice address
8405 RIO SAN DIEGO DR, SAN DIEGO, CA 92108-5689
(619) 895-4074
Mailing address
8405 RIO SAN DIEGO DR, SAN DIEGO, CA 92108-5689
(619) 895-4074
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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