Individual
DENNISE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD, CSR.
Contact information
Practice address
4477 BRENTWOOD CT, ROANOKE, VA 24018-3856
(540) 632-8325
Mailing address
4477 BRENTWOOD CT, ROANOKE, VA 24018-3856
(540) 632-8325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
927332
VA
Other
Enumeration date
07/10/2006
Last updated
11/17/2024
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