Individual
VERONICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 GOUGH ST, SAN FRANCISCO, CA 94109-7622
(415) 474-7310
Mailing address
1010 GOUGH ST, SAN FRANCISCO, CA 94109-7622
(415) 474-7310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
708999
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19260
CA
Other
Enumeration date
01/07/2010
Last updated
04/06/2015
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