Individual
MRS. MARIBEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 NW 18TH ST, OKLAHOMA CITY, OK 73107-3743
(405) 549-8535
Mailing address
4005 NW 18TH ST, OKLAHOMA CITY, OK 73107-3743
(405) 549-8535
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
04/30/2013
Last updated
05/13/2013
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