person
Laura Rebeca Mata Lopez, NP
Psychiatric/Mental Health Nurse Practitioner in San Pablo, California
NPI 1871010793

Laura Rebeca Mata Lopez is a Psychiatric/Mental Health Nurse Practitioner based in El Cerrito, CA and is specialized in Psychiatric/Mental Health. Laura Rebeca Mata Lopez practices in San Pablo, CA and has the professional credentials of NP. The NPI Number for Laura Rebeca Mata Lopez is 1871010793 and holds a License No. 95007152 (California).

The current practice location address for Laura Rebeca Mata Lopez is 2023 Vale Rd, San Pablo, CA and can be reached out via phone at 510-215-9092.

Location: 2023 Vale Rd, San Pablo, CA, 94530-4012
person
Provider Profile Details
NPI Number
1871010793
Provider Name
Laura Rebeca Mata Lopez
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2023 Vale Rd, San Pablo, CA, 94530-4012
Phone Number
510-215-9092
Fax Number
Provider Enumeration Date
08/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2023 Vale Rd
City
State
Zip
94806-3834
Phone Number
510-215-9092
Fax Number
person
Provider Business Mailing Address Details
Address
2023 Vale Rd
City
State
Zip
94806-3834
Phone Number
510-215-9092
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95007152 (California)
Definition
Definition to come...
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