Most Relevant Information
Provider Data
| NPI Number: | 1003505611 |
| Provider Name: | JAZMIN LOPEZ NAVA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 95228476 |
Most Important Dates
| Enumeration Date: | 05/01/2023 |
| Last Updated: | 05/01/2023 |
Provider Practice Location
1885 BAY RD
EAST PALO ALTO
CA
943031312
Practice Location Phone/Fax
| Phone: | 6502897736 |
| Fax: |
Provider Mailing Location
225 S IDAHO ST
SAN MATEO
CA
944012937
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |