Individual
JANETH PEREZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 ELEVENTH ST, LAKEPORT, CA 95453-4113
(925) 719-8771
Mailing address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
(925) 719-8771
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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