Individual
MR. DOMINGO SILVANO LOPEZ
Active
Individual
MR. DOMINGO SILVANO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN 5189681
FL
Other
Enumeration date
09/18/2007
Last updated
06/25/2013
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