Individual
MR. ELIEGO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3637 MISSION AVE BLDG B, CARMICHAEL, CA 95608-2946
(916) 485-4175
(916) 485-2673
Mailing address
3628 MADISON AVE, NORTH HIGHLANDS, CA 95660-5069
(916) 388-3231
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
11/29/2022
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