Individual
ANITA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1556 S SULTANA AVE, ONTARIO, CA 91761-4238
(909) 418-6923
(909) 418-6937
Mailing address
912 AVENIDA DEL VIS APT 8, CORONA, CA 92882-2907
(951) 737-6527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2018
Last updated
07/21/2018
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