Individual
EMILY ANDREA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 CALLE DE LA ROSA, CAMARILLO, CA 93012-5006
(805) 444-1098
Mailing address
207 CALLE DE LA ROSA, CAMARILLO, CA 93012-5006
(805) 444-1098
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
374700000X
CA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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