Individual
CHERYL DARLENE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2834 HOWARD AVE UNIT C, MYRTLE BEACH, SC 29577-1902
(843) 443-5504
Mailing address
3540 ASH ST, MYRTLE BEACH, SC 29577-5019
(843) 443-5504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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