Individual
ANDREA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N 400 W, LAYTON, UT 84041-2383
(801) 217-3390
Mailing address
4350 TRUMAN CIR APT B, HILL AFB, UT 84056-1613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10886035-4104
UT
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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