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Individual

CARMEN VICTORIA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(402) 838-5133
Mailing address
2935 BROADWAY APT 112, SAN DIEGO, CA 92102-4917
(402) 838-5133

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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