Individual
IVON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 276-4020
Mailing address
21 NIVERVILLE ST, JOHNSTON, RI 02919-3749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN57896
RI
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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