Individual
EFRAIN EDUARDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6511 SW 36TH ST, MIAMI, FL 33155-3964
(305) 804-9759
Mailing address
6511 SW 36TH ST, MIAMI, FL 33155-3964
(305) 804-9759
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9285998
FL
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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