Individual
MICHAELA RENE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N PINE ST, ORANGE, CA 92866-1145
(925) 719-3468
Mailing address
325 N PINE ST, ORANGE, CA 92866-1145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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