Individual
MISS JEANETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.B.R.F CERTIFIED
Contact information
Practice address
332 N 40TH ST, MILWAUKEE, WI 53208-3739
(414) 315-7573
(414) 489-7395
Mailing address
332 N 40TH ST, MILWAUKEE, WI 53208-3739
(414) 315-7573
(414) 489-7395
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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