LAURA REBECA MATA LOPEZ

SAN PABLO, CA
NPI1871010793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95007152)
Enumeration Date2017-08-23
Last Update Date2022-07-21
Business Address
LAURA REBECA MATA LOPEZ NP
2023 VALE RD
SAN PABLO, CA 94806-3834
Phone number: 510-215-9092
Mailing Address
LAURA REBECA MATA LOPEZ NP
510 EL CERRITO PLZ UNIT 315
EL CERRITO, CA 94530-4012
Phone number: 718-416-5113
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