Individual
MAILEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 W INDIANA AVE, NORFOLK, NE 68701-6307
(239) 265-1343
Mailing address
313 W INDIANA AVE, NORFOLK, NE 68701-6307
(239) 265-1343
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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