Individual
MARIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
466 E PUTNAM AVE, PORTERVILLE, CA 93257-4038
(559) 782-8645
Mailing address
5957 S MOONEY BLVD, VISALIA, CA 93277-9394
(559) 624-8046
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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