Individual
JACQUELINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LDN
Contact information
Practice address
7303 LOCH NESS DR, MIAMI LAKES, FL 33014-6009
(305) 725-4331
Mailing address
7303 LOCH NESS DR, MIAMI LAKES, FL 33014-6009
(305) 725-4331
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9041
FL
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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