Individual
MISS MARIELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3678 OLIVE ST, LAS VEGAS, NV 89104-4640
(702) 581-4017
(725) 214-7768
Mailing address
1516 E TROPICANA AVE STE 199, LAS VEGAS, NV 89119-8323
(725) 214-7776
(725) 214-7768
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2104123309
NV
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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