Individual
BAILEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3440 VIKING DR, SACRAMENTO, CA 95827-2844
(916) 262-8598
Mailing address
3440 VIKING DR, SACRAMENTO, CA 95827-2844
(916) 262-8598
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
10/18/2024
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