Individual
FERNANDA AICHEL LOPEZ SIQUEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 7278, LA QUINTA, CA 92248-7278
(760) 564-9205
(760) 771-6215
Mailing address
PO BOX 7278, LA QUINTA, CA 92248-7278
(760) 564-9205
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
04/11/2025
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