Individual
NOEMI PEREZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
476 NW 134TH WAY APT 308, NEWBERRY, FL 32669-3688
(352) 672-0359
Mailing address
476 NW 134TH WAY APT 308, NEWBERRY, FL 32669-3688
(352) 672-0359
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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