Individual
CARLOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ELECTROLYSIST
Contact information
Practice address
3032 TULARE ST, FRESNO, CA 93721-1415
(559) 889-3246
(559) 422-6151
Mailing address
3032 TULARE ST, FRESNO, CA 93721-1415
(559) 889-3246
(559) 422-6151
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
L9978
CA
Other
Enumeration date
01/27/2025
Last updated
02/14/2025
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