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Individual

ASHLEY LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6736 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91606-1538
(818) 755-8786
Mailing address
10733 LULL ST, SUN VALLEY, CA 91352-4609
(818) 314-5355

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/20/2017
Last updated
05/20/2017
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