Individual
NORMA BELINDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4425 TITAN TRL, HEMET, CA 92545-6224
(909) 997-4801
Mailing address
11019 WHITE OAK LN, FONTANA, CA 92337-6890
(909) 997-4801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC313309
CA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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