Individual
JENNIFER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ENTERPRISE PL STE 1, DOVER, DE 19904-8202
(302) 324-4444
Mailing address
603 S WASHINGTON ST, MILFORD, DE 19963-2317
(302) 470-5763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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