Individual
AGNES ADOLUVNI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5715 MUSICK AVE, NEWARK, CA 94560-2554
(510) 818-4146
Mailing address
5715 MUSICK AVE, NEWARK, CA 94560-2554
(510) 818-4146
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
741684
CA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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