Individual
GREYBY CID LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 LAUREN LN APT 3107, TARPON SPRINGS, FL 34689-6134
(727) 481-1114
Mailing address
4565 JORDANA WAY, UNIT 101, HOLIDAY, FL 34691
(727) 481-1114
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
388451
FL
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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