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1124648621
MARITZA LOPEZ
RANCHO CUCAMONGA, CA
NPI
1124648621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2020-04-24
Last Update Date
2022-10-20
Business Address
MARITZA LOPEZ
9570 CENTER AVE STE 110
RANCHO CUCAMONGA, CA 91730-5842
Phone number: 909-980-2789
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Mailing Address
MARITZA LOPEZ
9570 CENTER AVE STE 110
RANCHO CUCAMONGA, CA 91730-5842
Phone number: 909-980-2789
Copy
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