Individual
KATHY SANTANA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9350 CAMPUS POINT DR # 0996, LA JOLLA, CA 92037-1300
(858) 657-7203
Mailing address
852 GOLD OAK CT, CHULA VISTA, CA 91910-6754
(619) 421-8802
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
CA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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