Individual
IVY LOPEZ REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5219 W SARAGOSA ST, CHANDLER, AZ 85226-4510
(480) 385-9091
Mailing address
5219 W SARAGOSA ST, CHANDLER, AZ 85226-4510
(480) 385-9091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
250313
AZ
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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