Individual
JUANITA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1002 N FAIRVIEW ST, SANTA ANA, CA 92703-1811
(714) 835-8501
(714) 835-3912
Mailing address
13713 PARK ST, CERRITOS, CA 90703-1452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
818621
CA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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