Most Relevant Information
Provider Data
| NPI Number: | 1003384637 |
| Provider Name: | CYNTHIA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2018 |
| Last Updated: | 03/19/2019 |
Provider Practice Location
1180 BROADWAY ST
KING CITY
CA
939303602
Practice Location Phone/Fax
| Phone: | 8313869340 |
| Fax: |
Provider Mailing Location
1180 BROADWAY ST
KING CITY
CA
939303602
Provider Mailing Phone/Fax
| Phone: | 8313869340 |
| Fax: |