Individual
CARLOS ULISES LOPEZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
221 S MONTCLAIR ST, BAKERSFIELD, CA 93309-3165
(661) 241-5040
Mailing address
221 S MONTCLAIR ST, BAKERSFIELD, CA 93309-3165
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
249570
CA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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