Individual
SHERIDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 BUSTLETON AVE, PHILADELPHIA, PA 19152-1918
(267) 918-1520
Mailing address
8400 BUSTLETON AVE, PHILADELPHIA, PA 19152-1918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012024
PA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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