Individual
MRS. CRYSTAL ANGELICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 PACITO WAY, SAINT CLOUD, FL 34769-7088
(407) 404-2684
Mailing address
501 PACITO WAY, SAINT CLOUD, FL 34769-7088
(407) 404-2684
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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