Individual
ANDREW LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6730 N 17TH AVE APT 201, PHOENIX, AZ 85015-1394
(623) 565-0773
Mailing address
6730 N 17TH AVE APT 201, PHOENIX, AZ 85015-1394
(623) 565-0773
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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