Individual
MISS VICTORIA LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2000
Mailing address
2569 JULIAT PL, UNION, NJ 07083-3928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
L65307677457942
NJ
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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