Individual
JACQUELINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1406 16TH AVE SW, GREAT FALLS, MT 59404-3134
(406) 606-3510
(406) 578-3135
Mailing address
1406 16TH AVE SW, GREAT FALLS, MT 59404-3134
(406) 606-3510
(406) 578-3135
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
MT
Other
Enumeration date
02/20/2018
Last updated
04/24/2024
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