Individual
MISS KATHERINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 FIRESTONE BLVD, NORWALK, CA 90650-4328
(562) 864-3722
Mailing address
6009 ARBUTUS AVE, HUNTINGTON PARK, CA 90255-3122
(323) 482-0466
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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