Individual
MS. SONYA BETH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3331
Mailing address
126 EARL AVE, GLASSBORO, NJ 08028-2611
(856) 881-4396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
VP006046N
PA
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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