Individual
MR. ALFREDO IVAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
135 W SHAW AVE, FRESNO, CA 93704-2825
(559) 258-0968
Mailing address
2204 RIESLING AVE, HANFORD, CA 93230-8133
(559) 707-9338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029419
CA
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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