Individual
KIMBERLY ESTEPHANIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W VAN BUREN ST STE C, AVONDALE, AZ 85323-1306
(623) 505-6307
Mailing address
15667 W HAMMOND DR, GOODYEAR, AZ 85338-3213
(602) 451-6772
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA13320
AZ
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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