Individual
ANGELICA IMER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 953-3741
Mailing address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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