Individual
ALFRED MICHAEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CHC
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NY
171M00000X
Case Manager/Care Coordinator
—
NJ
225700000X
Massage Therapist
Primary
—
NJ
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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