Individual
NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
309 CRAWFORD HALL, IRVINE, CA 92697-0001
(949) 824-2876
Mailing address
16372 MARUFFA CIR, HUNTINGTON BEACH, CA 92649-2134
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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