Individual
MARILYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 CALLE GAUTIER BENITEZ, CONSOLIDATE MALL SUITE C-21, CAGUAS, PR 00725-5527
(787) 653-4001
Mailing address
PO BOX 101, LAS PIEDRAS, PR 00771-0101
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005213
PR
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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