Individual
MS. STEPHANIE ANTIONETTE JOY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 WOODLAWN DR., GWYNN OAK, MD 21207-4043
(410) 887-1332
(410) 887-1386
Mailing address
11 N EUTAW ST, APT. 624, BALTIMORE, MD 21201-1765
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R185356
MD
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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