Individual
ART A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
(707) 479-0216
Mailing address
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407-5472
(707) 479-0216
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
12/10/2024
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