Individual
ANAISES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
109 E 11TH ST, CORONA, CA 92879-2157
(951) 427-3482
Mailing address
109 E 11TH ST, CORONA, CA 92879-2157
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
742293
CA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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