Individual
MRS. ALICIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25876 FLINT DR, MORENO VALLEY, CA 92553-2944
(909) 664-7249
Mailing address
25876 FLINT DR, MORENO VALLEY, CA 92553-2944
(909) 664-7249
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-3058728
—
CA
Enumeration date
08/09/2021
Last updated
08/09/2021
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