Individual
YESSICA FAVIOLA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49869 CALHOUN ST, COACHELLA, CA 92236-9720
(760) 398-9090
(760) 391-5338
Mailing address
46745 MONROE ST APT 146, INDIO, CA 92201-5555
(760) 818-6012
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
08/26/2021
Last updated
08/11/2023
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