Individual
MS. CHRYSTAL MARIE FRANCES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3837
Mailing address
1459 GLADSTONE ST, SHERIDAN, WY 82801-5615
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86131812
MT
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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