Individual
JENNY LISETH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
1983 MARENGO ST, LOS ANGELES, CA 90033-1370
(323) 226-2622
Mailing address
433 E SUNSET ST, LONG BEACH, CA 90805-6619
(562) 303-4922
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
208252
CA
246ZS0410X
Surgical Technologist
Primary
208252
CA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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