Individual
MRS. JOSETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6725 SW 40TH ST, DAVIE, FL 33314-3203
(954) 661-3732
Mailing address
6725 SW 40TH ST, DAVIE, FL 33314-3203
(954) 661-3732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9193567
FL
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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