Individual
SUSANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMPSS
Contact information
Practice address
40335 165TH ST E, LANSCATER, CA 93534
(661) 433-3396
Mailing address
40335 165TH ST E, PALMDALE, CA 93591-3017
(661) 433-3396
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-THNGUX
CA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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