Individual
NICOLE ANDREA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
4029 BAYWOOD ST, LOS ANGELES, CA 90039-1237
(818) 314-3255
Mailing address
4029 BAYWOOD ST, LOS ANGELES, CA 90039-1237
(818) 314-3255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CA
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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