Individual
NEYVA MELINA FLORE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Mailing address
1408 5TH ST, RAPID CITY, SD 57701-3730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
90931
NE
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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