Individual
ANGELA N LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, RN
Contact information
Practice address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7117
Mailing address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 830-1706
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
794053
NY
172M00000X
Mechanotherapist
021194
NY
Other
Enumeration date
01/11/2011
Last updated
02/26/2024
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