Individual
ADA CRISTINA LOPEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLT
Contact information
Practice address
2012 S JONES BLVD, LAS VEGAS, NV 89146-3151
(702) 360-1137
Mailing address
9225 W CHARLESTON BLVD APT 2128, LAS VEGAS, NV 89117-7078
(787) 406-7061
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6035
PR
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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