Individual
ALEJANDRA C LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 428-5561
(619) 205-1979
Mailing address
PO BOX 221, EL CENTRO, CA 92244-0221
(619) 301-4286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2010
Last updated
04/10/2012
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