Individual
JOVANI T LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4115 AMBASSADOR DRIVE, ANCHORAGE, AK 99508
(907) 729-5618
Mailing address
4115 AMBASSADOR DRIVE, ANCHORAGE, AK 99508
(907) 729-5618
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Enumeration date
10/30/2017
Last updated
11/12/2025
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