Individual
JENNY LOPEZ ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 W 4TH ST, MISHAWAKA, IN 46544-1948
(888) 580-1060
Mailing address
16020 BRENTWOOD DR, GOSHEN, IN 46526-5565
(574) 334-8756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71013919A
IN
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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