Individual
JUANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-5207
Mailing address
205 SW 75TH ST APT 12H, GAINESVILLE, FL 32607-1764
(786) 271-4418
Taxonomy
Speciality
Code
Description
License number
State
246QH0600X
Histology Specialist/Technologist
Primary
TN42418
FL
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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