Individual
CORIN NICOLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 SW 107TH AVE APT 202, MIAMI, FL 33165-7347
(305) 205-0314
Mailing address
1925 SW 107TH AVE APT 202, MIAMI, FL 33165-7347
(305) 205-0314
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI3770
FL
Other
Enumeration date
10/14/2018
Last updated
11/13/2018
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