Individual
GARDEMIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E KINGS CANYON RD # 319, FRESNO, CA 93702-3604
(559) 600-2382
Mailing address
4411 E KINGS CANYON RD # 319, FRESNO, CA 93702-3604
(559) 600-2382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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