Individual
GEORGINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 W 8TH ST, GRAND ISLAND, NE 68801-4228
(308) 258-2848
Mailing address
518 W 8TH ST, GRAND ISLAND, NE 68801-4228
(308) 258-2848
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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