Individual
JACQUELINE JOAN LOPEZ-RIVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 GREYHOUND ST, PAHRUMP, NV 89060-5308
(775) 751-4773
Mailing address
2480 GREYHOUND ST, PAHRUMP, NV 89060-5308
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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