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Individual

SANDRA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1441 CONSTITUTION BLVD, BLDG 151, SUITE 16, SALINAS, CA 93906-3100
(831) 769-8660
Mailing address
9015 MURRAY AVENUE, SUITE 100, GILROY, CA 95020
(408) 842-7138

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC70124F
CA
01
ZZZ02040Z
MEDICARE GRP
CA
Enumeration date
05/25/2010
Last updated
06/14/2017
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