Individual
CARLA P LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1399 RODNEY DR, MARION, OH 43302-7036
(860) 205-3084
Mailing address
1399 RODNEY DR, MARION, OH 43302-7036
(860) 205-3084
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0216317
—
OH
Enumeration date
04/02/2018
Last updated
04/02/2018
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