Individual
NILDA VERONICA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
202 MEADOW LAKE DR, CARROLLTON, GA 30116-8826
(540) 479-7812
Mailing address
202 MEADOW LAKE DR, CARROLLTON, GA 30116-8826
(540) 479-7812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014246
GA
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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