Individual
JACQUELINE A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 SHAKER RD STE 4, EAST LONGMEADOW, MA 01028-2760
(860) 394-8203
Mailing address
60 SHAKER RD STE 4, EAST LONGMEADOW, MA 01028-2760
(860) 394-8203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12283
MA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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