Individual
AMELIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-3479
(907) 486-3479
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
F57435
AK
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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