Individual
ANAHUAC I LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 S SAN JOSE AVE, COVINA, CA 91723-3056
(626) 759-3140
Mailing address
451 S SAN JOSE AVE, COVINA, CA 91723-3056
(626) 759-3140
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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