Individual
ROGELIO LOPEZ SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN CRNI
Contact information
Practice address
315 VIRGINIA CT, CANTON, MI 48187-3972
(734) 288-8776
(734) 667-5566
Mailing address
17316 MAYALL ST, NORTHRIDGE, CA 91325-1527
(919) 687-8348
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
4704271198
MI
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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