Individual
SABRINA JOVITA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 234-8161
(574) 204-7656
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28193420A
IN
Other
Enumeration date
10/26/2018
Last updated
11/07/2018
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