Individual
BRIANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2308 LA GRANDE AVE, ALEXANDRIA, VA 22301-1111
(716) 969-5469
Mailing address
2308 LA GRANDE AVE., ALEXANDRIA, VA 22301
(716) 969-5469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
03/17/2018
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