Individual
ALYSSA LYSETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
(408) 846-2489
Mailing address
290 I O O F AVE, GILROY, CA 95020-5204
(408) 846-2100
(408) 846-2489
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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