Individual
LESLIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 D ST STE R, MARYSVILLE, CA 95901-5952
(530) 702-0088
Mailing address
201 D ST STE R, MARYSVILLE, CA 95901-5952
(530) 702-0088
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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