Individual
JESSICA MICHELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
(510) 569-4589
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
(510) 569-4589
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
214418
CA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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