| Provider / Organization | NPI | Date Certified |
|---|---|---|
| VERONICA FAYE LOPEZ | 1720682669 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Veronica Faye Lopez CMT |
| Practice Office Address | 4934 MONTAGUE AVE OAKLEY, CA US |
| Practice Office Telephone | 9253054684 |
| Mailing Address | 4934 MONTAGUE AVE OAKLEY, CA 945611948 US |
| Business Telephone | 9253054684 |
| Code | License No | State |
|---|---|---|
| 225700000X PRIMARY | 85326 | CA |