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Individual

WIZEIDA I LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
CARRETERA 693 KM 14.2, VEGA ALTA, PR 00692
(787) 270-2686
(787) 270-5209
Mailing address
PO BOX 468, VEGA BAJA, PR 00694-0468
(787) 270-2686
(787) 270-5292

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
010445
PR
163WH0200X
Home Health Registered Nurse
010445
PR

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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