Individual
JESSICA JOANE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
1958 VIA CTR, VISTA, CA 92081-6056
(760) 477-1350
(760) 754-6785
Mailing address
1958 VIA CTR, VISTA, CA 92081-6056
(760) 477-1350
(760) 754-6785
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
73119
CA
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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