Individual
DOMINIC FRANK LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1060 ESTES ST, EL CAJON, CA 92020-7411
(619) 440-5133
Mailing address
1060 ESTES ST, EL CAJON, CA 92020-7411
(619) 440-5133
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
283558
CA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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