Individual
MR. FREDDIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2810 W CHARLESTON BLVD STE 70, LAS VEGAS, NV 89102-1993
(702) 822-1556
Mailing address
3110 BURNING TREE CT, PAHRUMP, NV 89048-5787
(775) 513-4903
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/27/2013
Last updated
11/24/2015
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