Organization
PRE-OP MOBILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE JEFFREY LOPEZ RRT (RESPIRATORY THERAPY)
(805) 368-9168
Entity
Organization
Contact information
Practice address
13305 OLD BUTTERFIELD RD, SANTA ROSA VALLEY, CA 93012-8840
(805) 368-9168
Mailing address
13305 OLD BUTTERFIELD RD, SANTA ROSA VALLEY, CA 93012-8840
(909) 809-1004
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
09/18/2020
Last updated
02/10/2021
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