Individual
ORCHID M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-1025
Mailing address
5560 W MEGAN ST, CHANDLER, AZ 85226-6810
(602) 377-5621
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN049077
AZ
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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