Individual
MRS. DORA OLIVA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
STREET 8 INT 5. DISTRIC DUQUE, NAGUABO, PR 00718-0803
(787) 530-7821
Mailing address
PO BOX 803, NAGUABO, PR 00718-0803
(787) 530-7821
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1643
PR
Other
Enumeration date
10/07/2013
Last updated
11/05/2013
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