MS. Susana Lopez
NPI #1669604286 in Fort Bragg, California
Provider Information
- NPI Number
- 1669604286
- Entity Type
- Individual
- Name
- MS. Susana Lopez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Aug 14, 2009
- Last Updated
- Aug 14, 2009
Practice Location
- Address
- 855 SEQUOIA CIR
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-5466
- Phone
- (707) 964-1251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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