Individual
MRS. CHARISE JULISSA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 5 BOX 5618, YABUCOA, PR 00767-9682
(787) 914-1222
Mailing address
HC 5 BOX 5618, YABUCOA, PR 00767-9682
(787) 914-1222
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
765
PR
Other
Enumeration date
12/28/2018
Last updated
12/10/2021
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