Individual
ELIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1125
Mailing address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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