Most Relevant Information
Provider Data
| NPI Number: | 1003201542 |
| Provider Name: | BELESHIA NYGEA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2015 |
| Last Updated: | 04/01/2015 |
Provider Practice Location
3910 3RD AVE
LOS ANGELES
CA
900082706
Practice Location Phone/Fax
| Phone: | 2134792943 |
| Fax: | 3237924464 |
Provider Mailing Location
PO BOX 561571
LOS ANGELES
CA
900560238
Provider Mailing Phone/Fax
| Phone: | 2134792943 |
| Fax: | 3237924464 |