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Individual
VANESSA MARIE LOPEZ
Active
Individual
VANESSA MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9356694
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11000927
FL
Other
Enumeration date
09/24/2018
Last updated
02/22/2019
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