Individual
DEJA M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
252 W BROOKLYN AVE, SLC, UT 84101-3024
(801) 363-9400
Mailing address
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104-5112
(801) 577-4661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13398422-3102
UT
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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