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Individual

CLAUDIA VANESA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LE, PMUA

Contact information

Practice address
45200 CLUB DR, INDIAN WELLS, CA 92210-8837
(760) 777-8772
Mailing address
45200 CLUB DR, INDIAN WELLS, CA 92210-8837
(760) 777-8772

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
Z147293
CA

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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