Individual
MRS. VALERIE R LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
45 W 45TH ST, NEW YORK, NY 10036-4602
(877) 438-9335
Mailing address
27599 CORAL ST, MENIFEE, CA 92585-3706
(803) 451-1895
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
77569
CA
225700000X
Massage Therapist
Primary
D3815468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77569
—
CA
05
—
D3815468
—
CA
Enumeration date
03/31/2021
Last updated
03/31/2021
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