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Individual
JACQUELINE AMANDA LOPEZ
Active
Individual
JACQUELINE AMANDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7849
FL
Other
Enumeration date
07/25/2016
Last updated
04/30/2025
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