Individual
MS. JOSEFINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4210 N AUGUSTA ST, FRESNO, CA 93726-3221
(559) 801-3537
Mailing address
4210 N AUGUSTA ST, FRESNO, CA 93726-3221
(559) 801-3537
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN254040
CA
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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