Most Relevant Information
Provider Data
| NPI Number: | 1003281684 |
| Provider Name: | SHANA LOPEZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 785481 |
Most Important Dates
| Enumeration Date: | 12/07/2015 |
| Last Updated: | 12/07/2015 |
Provider Practice Location
104 SOUTH BARNES ST
OCEANSIDE
CA
920543406
Practice Location Phone/Fax
| Phone: | 7609663800 |
| Fax: |
Provider Mailing Location
104 SOUTH BARNES ST
OCEANSIDE
CA
920543406
Provider Mailing Phone/Fax
| Phone: | 7609663800 |
| Fax: |