Individual
ALEJANDRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3006 SE 18TH AVE, CAPE CORAL, FL 33904-4009
(239) 330-2403
Mailing address
3006 SE 18TH AVE, CAPE CORAL, FL 33904-4009
(239) 330-2403
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-205674
TAX ID
FL
Enumeration date
07/05/2017
Last updated
06/16/2018
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