Individual
DENISE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(747) 210-4433
Mailing address
200 HILLMONT AVE, VENTURA, CA 93003-1647
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95121930
CA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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