Individual
MARIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4585
Mailing address
10 GOVE ST, BOSTON, MA 02128-1920
(617) 569-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2286649
MA
Other
Enumeration date
12/04/2023
Last updated
01/23/2024
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