Individual
CRYSTY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 ABBE RD S APT R9, ELYRIA, OH 44035-6326
(440) 506-9508
Mailing address
525 ABBE RD S APT R9, ELYRIA, OH 44035-6326
(440) 506-9508
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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