Individual
MR. JOSHUA JAMES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1400 E SOUTHERN AVE STE 310, TEMPE, AZ 85282-5695
(602) 567-9881
Mailing address
17224 E GRANDE BLVD, FOUNTAIN HILLS, AZ 85268-3225
(480) 767-3158
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9682A
AZ
Other
Enumeration date
01/22/2014
Last updated
09/09/2014
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