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Individual

CARMEN LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4550 W OAKEY BLVD, LAS VEGAS, NV 89102-1581
(702) 822-1253
(702) 822-1336
Mailing address
1941 WHITON ST, LAS VEGAS, NV 89156-7177
(702) 336-8724

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
01/26/2018
Last updated
01/26/2018
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