Individual
BLANCA IRIS DEWITT LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
752 W 23RD ST, MERCED, CA 95340-3610
(209) 299-2042
Mailing address
752 W 23RD ST, MERCED, CA 95340-3610
(209) 299-2042
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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