Individual
RAQUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9260 SW 85TH ST, MIAMI, FL 33173-4527
(786) 268-6200
(786) 533-9978
Mailing address
9260 SW 85TH ST, MIAMI, FL 33173-4527
(786) 268-6200
(786) 533-9978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3335
FL
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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