Individual
MISS LESLIE ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
CARR 670 KM 1.8 BO. COTTO NORTE, MANATI, PR 00674
(787) 884-1114
(787) 884-0125
Mailing address
PO BOX 1809, VEGA BAJA, PR 00694-1809
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
10893
PR
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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