Individual
WALESKA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSE
Contact information
Practice address
ST TROPEZ BUILDING, 6267 ISLA VERDE AVE, CAROLINA, PR 00979
(787) 943-8961
Mailing address
PO BOX 544, MERCEDITA, PR 00715-0544
(787) 943-8961
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
615
PR
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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