Individual
BLANCA ESTELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2148
(408) 842-8815
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2148
(408) 842-8815
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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