Individual
MONICA ELIZABETH LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
316 BOULEVARD, BOX 999, ANDERSON, SC 29621-4002
(864) 231-2144
Mailing address
316 BOULEVARD, BOX 999, ANDERSON, SC 29621-4002
(864) 231-2144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1215
SC
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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