Individual
AMBAR KRYSTAL LOPEZ AGOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 AVENIDA CESAR E CHAVEZ, KANSAS CITY, MO 64108-2133
(818) 913-1910
Mailing address
519 AVENIDA CESAR E CHAVEZ, KANSAS CITY, MO 64108-2133
(888) 913-1910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12183
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/05/2023
Last updated
08/28/2024
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