Individual
ADELINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 N MOUNTAIN AVE, SUITE A, UPLAND, CA 91786-3697
(909) 932-1069
Mailing address
839 N CALIFORNIA AVE, LA PUENTE, CA 91744-2606
(626) 512-0152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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