Individual
ASHLEY EDEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(909) 558-4000
Mailing address
7717 CHURCH AVE SPC 2, HIGHLAND, CA 92346-4313
(303) 408-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000318
CA
Other
Enumeration date
05/06/2015
Last updated
09/23/2019
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