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Marissa Lopez
Student in an Organized Health Care Education/Training Program in Colton, California
NPI 1356913180

Marissa Lopez is a Student in an Organized Health Care Education/Training Program based in Colton, CA. Marissa Lopez practices in Colton, CA. The NPI Number for Marissa Lopez is 1356913180 and holds a License No. (California).

The current practice location address for Marissa Lopez is 1212 Valencia Dr, Colton, CA and can be reached out via phone at 909-580-5000.

Location: 1212 Valencia Dr, Colton, CA, 92324-1798
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356913180
Provider Name
Marissa Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1212 Valencia Dr, Colton, CA, 92324-1798
Phone Number
909-580-5000
Fax Number
Provider Enumeration Date
07/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1212 Valencia Dr
City
Colton
State
California
Zip
92324-1798
Phone Number
909-580-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1212 Valencia Dr
City
Colton
State
California
Zip
92324-1798
Phone Number
909-580-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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