Individual
ISIS OSULI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 E 5TH ST, HIALEAH, FL 33010-4842
(786) 401-7818
(786) 431-1065
Mailing address
54 E 5TH ST, HIALEAH, FL 33010-4842
(786) 401-7818
(786) 431-1065
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
05/20/2015
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