Individual
CHRISTY MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10281 KIDD ST, RIVERSIDE, CA 92503-3469
(951) 715-5050
Mailing address
10281 KIDD ST, RIVERSIDE, CA 92503-3469
(951) 715-5050
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
MPSS-JASYMD
CA
175T00000X
Peer Specialist
Primary
MPSS-JASYMD
CA
Other
Enumeration date
12/21/2022
Last updated
05/30/2024
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