Individual
BRANDON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVNII
Contact information
Practice address
555 FLYING V ST STE 5, CHICO, CA 95928-7698
(530) 899-2255
Mailing address
555 FLYING V ST STE 5, CHICO, CA 95928-7698
(530) 899-2255
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
290295
CA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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