Individual
ALEXANDRA MARET LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 US HWY 11, UWA STATION 14, LIVINGSTON, AL 34570
(205) 652-3714
Mailing address
100 US 11, UWA STATION 14, LIVINGSTON, AL 34570
(205) 652-3714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2023
Last updated
11/30/2023
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