Individual
VIVIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14051 ARBOR PINES DR, RIVERVIEW, FL 33579-4118
(787) 587-0949
Mailing address
14051 ARBOR PINES DR, RIVERVIEW, FL 33579-4118
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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