Individual
IVALENA MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
T4 CALLE 17, VEGA ALTA, PR 00692-6834
Mailing address
T4 CALLE 17, VEGA ALTA, PR 00692-6834
(787) 210-9326
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2240
PR
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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