Individual
MONIQUE A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 390749, ANZA, CA 92539-0749
(951) 349-4195
Mailing address
PO BOX 390749, ANZA, CA 92539-0749
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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