Individual
BREYANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38565 PHEASANT TRL, MCCOOK, NE 69001
(308) 350-4783
Mailing address
38565 PHEASANT TRL, MCCOOK, NE 69001
(308) 350-4783
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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