Individual
BERNADINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2088 EDGEGATE DR, SAN JOSE, CA 95122-4024
(408) 314-4993
Mailing address
2088 EDGEGATE DR, SAN JOSE, CA 95122-4024
(408) 314-4993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/27/2017
Last updated
07/06/2017
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