Individual
ALYSIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 PEARL ST, SUMMIT, NJ 07901-3817
(908) 342-1943
Mailing address
23 PEARL ST, SUMMIT, NJ 07901-3817
(908) 342-1943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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