Individual
VITALIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1064 FOX RUN, READING, PA 19606
(610) 679-4249
Mailing address
1064 FOX RUN, READING, PA 19606-1136
(610) 679-4249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN284577
PA
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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