Provider Demographics
NPI:1003228933
Name:TURNER LOPEZ, JESSICA KALA (DC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:KALA
Last Name:TURNER LOPEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:KALA
Other - Last Name:FAIRMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1839 S ALMA SCHOOL RD STE 354
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3028
Mailing Address - Country:US
Mailing Address - Phone:480-726-2287
Mailing Address - Fax:888-503-3312
Practice Address - Street 1:14239 W BELL RD STE 108
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2470
Practice Address - Country:US
Practice Address - Phone:623-248-4283
Practice Address - Fax:623-440-4255
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8392111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor