Individual
JACKELINE LOPEZ LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
410 AVE HOSTOS STE 1, MAYAGUEZ, PR 00682-1550
(787) 834-5830
Mailing address
PO BOX 132, AGUADA, PR 00602-0132
(787) 410-9501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1264
PR
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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