Individual
EMILY ELENA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 581-3414
Mailing address
10 S 2000 E, SALT LAKE CITY, UT 84112-5880
(801) 513-9288
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
10863375-3102
UT
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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