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1417723982
ANNALISE AYESHA LOPEZ
SAN BERNARDINO, CA
NPI
1417723982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 737399)
Enumeration Date
2023-11-27
Last Update Date
2024-11-05
Business Address
ANNALISE AYESHA LOPEZ LVN
820 E GILBERT ST
SAN BERNARDINO, CA 92415-3678
Phone number: 909-387-7200
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Mailing Address
ANNALISE AYESHA LOPEZ LVN
820 E GILBERT ST
SAN BERNARDINO, CA 92415-0928
Phone number: 909-387-7200
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