Individual
MRS. ANDREA DENISE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
26 O HAGAN LN, THORNTON, WV 26440-7090
(681) 622-1039
Mailing address
26 O HAGAN LN, THORNTON, WV 26440-7090
(681) 622-1039
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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