Individual
MAGDALENA LOPEZ CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 N BEALE RD, MARYSVILLE, CA 95901-6205
(530) 749-8640
Mailing address
1496 N BEALE RD, MARYSVILLE, CA 95901-6205
(530) 749-8640
Taxonomy
Speciality
Code
Description
License number
State
364SR0400X
Rehabilitation Clinical Nurse Specialist
Primary
702741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275804205
—
CA
Enumeration date
07/19/2022
Last updated
07/19/2022
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