Individual
SANDEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706
(301) 552-8118
Mailing address
13320 DAUPHINE ST, SILVER SPRING, MD 20906-5208
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R200025
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2018
Last updated
07/17/2018
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