Individual
MISS BRENDA G LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2349 RENAISSANCE DR, SUITE A, LAS VEGAS, NV 89119-6191
(702) 793-7716
(702) 597-2242
Mailing address
7109 PUETOLLANO DR, NORTH LAS VEGAS, NV 89084-2341
(702) 834-8954
(702) 669-6161
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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