Individual
ANDREA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4703 4TH AVE, BROOKLYN, NY 11220-1119
(202) 683-8876
Mailing address
4703 4TH AVE, BROOKLYN, NY 11220-1119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NY
Other
Enumeration date
07/17/2023
Last updated
09/06/2024
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