JENNIFER A LOPEZ

INDIO, CA
NPI1255900676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2021-06-21
Last Update Date2023-11-15
Business Address
JENNIFER A LOPEZ
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 760-863-8262
Mailing Address
JENNIFER A LOPEZ
1216 AMALIA AVE
LOS ANGELES, CA 90022-5040
Phone number: 661-528-9855