Individual
JOSEPH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3249 DAWNVIEW AVE, POMONA, CA 91767-1003
(909) 593-2826
Mailing address
3249 DAWNVIEW AVE, POMONA, CA 91767-1003
(909) 593-2826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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