Individual
JOSUE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4615 N MARTY AVE, FRESNO, CA 93722-4186
(559) 276-4300
Mailing address
4615 N MARTY AVE, FRESNO, CA 93722-4186
(592) 764-3005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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