Individual
JODY DANIELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(510) 775-5597
Mailing address
44842 RAMONA AVE, PALM DESERT, CA 92260-3733
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
07/07/2014
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