Individual
MARLENY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 19TH AVE, SCOTTSBLUFF, NE 69361-1845
(308) 562-5639
Mailing address
2926 19TH AVE, SCOTTSBLUFF, NE 69361-1845
(308) 562-5639
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H13426552
NE
3747P1801X
Personal Care Attendant
H13426552
NE
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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