Individual
MISS CYNTHIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 ALLSTON ST # B, BOSTON, MA 02135-7660
(915) 227-8971
Mailing address
254 ALLSTON ST # B, BOSTON, MA 02135-7660
(915) 227-8971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2513
MA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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