Individual
MRS. ELIZABETH TAYDE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
5130 RIVERSIDE DR, CHINO, CA 91710-4130
(909) 590-7093
Mailing address
19540 GREY FOX RD, WALNUT, CA 91789-4273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15585
CA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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