Individual
SOPHIA LOPEZ-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4893 WADE HAMPTON BLVD STE C, TAYLORS, SC 29687-5247
(917) 482-5786
(803) 716-8781
Mailing address
276 DOUBLE CREST DR, TAYLORS, SC 29687-4638
(917) 482-5786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
270356
SC
163WA2000X
Administrator Registered Nurse
270356
SC
174200000X
Meals Provider
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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