Individual
ROSA M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
164 E 5900 S STE 101, MURRAY, UT 84107-7256
(801) 261-5790
Mailing address
164 E 5900 S STE 101, MURRAY, UT 84107-7256
(801) 261-5790
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12662961-3101
UT
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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