Individual
RENE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6194 147TH AVE, HOLLAND, MI 49423-8986
(616) 312-5316
(616) 294-1122
Mailing address
6194 147TH AVE, HOLLAND, MI 49423-8986
(616) 312-5316
(616) 294-1122
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
AF030397565
MI
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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