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Individual

RUTH MARIE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14255 SW 151ST AVE, MIAMI, FL 33196-5611
(646) 326-8699
Mailing address
14255 SW 151ST AVE, MIAMI, FL 33196-5611
(646) 326-8699

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9490712
FL

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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