Individual
MRS. LETICIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
215 N. FRESNO STREET, SUITE 230, FRESNO, CA 93701
(559) 970-1852
Mailing address
5927 S EUNICE AVE, FRESNO, CA 93706-5849
(559) 970-1852
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
646154
CA
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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