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Individual

ANGELICA R LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831-3846
(714) 680-9000
(714) 680-8233
Mailing address
PO BOX 919, FULLERTON, CA 92836-0919
(714) 680-9000
(714) 680-8233

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
281414
CA

Other

Enumeration date
11/06/2018
Last updated
11/06/2018
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