Individual
JUANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 W 39TH ST, KEARNEY, NE 68845-8230
(308) 234-6834
Mailing address
75450 ROAD 435 LOT 10, LEXINGTON, NE 68850-3842
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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