Individual
MAGALY GONZALEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4702 ANDOVER CT APT 16A, VALPARAISO, IN 46383-1489
(786) 255-3111
Mailing address
4702 ANDOVER CT APT 16A, VALPARAISO, IN 46383-1489
(786) 255-3111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2699
PR
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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