Individual
MARISSA KRISTINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3549 S COUNTY CENTER DR, VISALIA, CA 93277-7172
(559) 368-3810
Mailing address
157 S K ST, TULARE, CA 93274-4011
(661) 609-2128
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01270165
CA
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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