Individual
MANUEL CHRISTOPHER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
855 E 4800 S STE 100, MURRAY, UT 84107-5513
(801) 473-3963
Mailing address
955 E 9400 S, SANDY, UT 84094-3651
(385) 264-1281
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/03/2022
Last updated
04/10/2024
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