Individual
JESSICA VANESSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
275 BAKER ST STE A, COSTA MESA, CA 92626-4566
(714) 361-6760
(714) 361-6768
Mailing address
275 BAKER ST STE A, COSTA MESA, CA 92626-4566
(714) 361-6760
(714) 361-6768
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693345
CA
Other
Enumeration date
01/05/2018
Last updated
11/22/2023
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