Individual
MARIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4240 W 375 N, CEDAR CITY, UT 84720-8666
(310) 291-6468
(310) 291-6468
Mailing address
4240 W 375 N, CEDAR CITY, UT 84720-8666
(310) 291-6468
(310) 291-6468
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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