Individual
EUGENE RUBEN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-5274
Mailing address
22109 FLAMINGO ST, GRAND TERRACE, CA 92313-6006
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
2818
CA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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