Individual
ALYSSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC STUDENT
Contact information
Practice address
10929 SOUTH ST STE 208B, CERRITOS, CA 90703-5368
(562) 924-5526
Mailing address
10929 SOUTH ST STE 208B, CERRITOS, CA 90703-5391
(562) 924-5526
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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