Individual
ANGELA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 W WAYNE ST, ALLIANCE, OH 44601-1665
(330) 206-0904
Mailing address
441 W WAYNE ST, ALLIANCE, OH 44601-1665
(330) 206-0904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN134760
OH
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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