MEDICARE: PATRICIA LOPEZ INTERPRETER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant

General Provider Information

NPI Number	:	1396023214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LOPEZ INTERPRETER

Provider Business Mailing Address
First Line	:	3790 N 1ST ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-5601
Country	:	US
Telephone Number	:	559-312-8979
Fax Number	:	559-222-2011

Provider Business Practice Location Address
First Line	:	3790 N 1ST ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-5601
Country	:	US
Telephone Number	:	559-312-8979
Fax Number	:	559-222-2011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2011
Last Update Date	:	07/26/2011

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Directions to “ PATRICIA LOPEZ INTERPRETER” Practice Location

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