Individual
JOHNNY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
4423 W FLAMINGO RD, LAS VEGAS, NV 89103-3703
(702) 458-1137
(702) 458-1423
Mailing address
3284 RIVER GLORIOUS LN, LAS VEGAS, NV 89135-2123
(702) 423-9301
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
839705
NV
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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