Individual
MARICELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
10024 S VERMONT AVE, LOS ANGELES, CA 90044-3112
(323) 242-0139
Mailing address
356 S PECAN ST, LOS ANGELES, CA 90033-3705
(323) 646-5807
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
16447
CA
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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