Individual
MARISOL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 ORANGE AVE UNIT 317, LONG BEACH, CA 90802-7008
(562) 661-7997
Mailing address
550 ORANGE AVE UNIT 317, LONG BEACH, CA 90802-7008
(562) 661-7997
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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