Individual
GIANN MANUEL BERROSPI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-9180
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
715587
CA
Other
Enumeration date
05/21/2024
Last updated
06/21/2024
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