Individual
ANA KARINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14331 SW 120TH ST STE 208, MIAMI, FL 33186-7297
(964) 630-5408
Mailing address
801 SW 94TH AVE, MIAMI, FL 33174-3039
(786) 620-3582
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
BACB649437
FL
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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