Individual
NOEL LOPEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1117 HUNTINGTON DR, MODESTO, CA 95350-3457
(209) 505-3360
Mailing address
PO BOX 125, MODESTO, CA 95353-0125
(209) 505-3360
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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