Individual
IRENE MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
Mailing address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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