Individual
MR. JOHN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5321 N FRESNO ST STE 106C, FRESNO, CA 93710-6850
(559) 943-0156
Mailing address
479 W FREMONT AVE, FRESNO, CA 93704-1108
(559) 943-0156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90399
CA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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