Individual
BRENDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11741 TELEGRAPH RD STE G, SANTA FE SPRINGS, CA 90670
(626) 254-5021
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-3536
(626) 254-5021
(626) 254-5021
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
694811
CA
Other
Enumeration date
07/11/2018
Last updated
08/02/2018
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