Individual
STEPHANIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6889 S EASTERN AVE, LAS VEGAS, NV 89119-4687
(702) 434-1200
Mailing address
1846 BIG HORN ST, PAHRUMP, NV 89048-5949
(323) 377-2901
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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