Individual
ASHLEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14327 FREDERICK ST, MORENO VALLEY, CA 92553-9041
(951) 443-2291
(951) 443-2250
Mailing address
14327 FREDERICK ST, MORENO VALLEY, CA 92553-9041
(951) 443-2291
(951) 443-2250
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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