Individual
MR. JAYSON L LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5204 EDERIA WAY, BAKERSFIELD, CA 93313-5847
(386) 383-4677
Mailing address
5204 EDERIA WAY, BAKERSFIELD, CA 93313-5847
(386) 383-4677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8301
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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