Individual
MS. MARISELA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
83614 EAGLE AVE, COACHELLA, CA 92236-6815
(760) 347-6027
Mailing address
83614 EAGLE AVE, COACHELLA, CA 92236-6815
(760) 347-6027
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
CA
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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