Individual
ISABELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 VALLEY BLVD, POMONA, CA 91768-3325
(909) 865-2336
Mailing address
2180 VALLEY BLVD, POMONA, CA 91768-3325
(909) 865-2336
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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