Individual
MR. VARDYNG LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N WASHINGTON ST STE 302, FALLS CHURCH, VA 22046-4516
(703) 533-1193
(703) 533-1192
Mailing address
100 N WASHINGTON ST STE 302, FALLS CHURCH, VA 22046-4516
(703) 533-1193
(703) 533-1192
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260677758
VA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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