Individual
EMILY ASHLEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3633 E BROADWAY, LONG BEACH, CA 90803-6035
(562) 285-1330
Mailing address
3633 E BROADWAY, LONG BEACH, CA 90803-6035
(562) 285-1330
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
03/18/2024
Last updated
07/08/2024
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