Individual
HAZEL NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10431 COMMERCE ST, REDLANDS, CA 92374-0110
(909) 783-1111
Mailing address
PO BOX 1822, REDLANDS, CA 92373-0581
(909) 783-1111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22323
CA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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