Individual
MANUEL JESUS LOPEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
2596 W CARANDIS RD, WEST PALM BEACH, FL 33406-5109
(156) 189-5050
Mailing address
2596 W CARANDIS RD, WEST PALM BEACH, FL 33406-5109
(156) 189-5050
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23381
WI
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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