Individual
ALEIDA JASMINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 OLD TOWN AVE, SAN DIEGO, CA 92110-2930
(619) 278-2400
Mailing address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-6865
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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