Individual
FELICIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 N 1ST ST STE 162, FRESNO, CA 93726-6869
(559) 476-2166
Mailing address
3636 N 1ST ST STE 162, FRESNO, CA 93726-6869
(559) 476-2166
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
01/26/2024
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