Individual
MILLIANE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(877) 848-9810
Mailing address
1020 GREY FOX LN UNIT 8201, MYRTLE BEACH, SC 29579-4635
(860) 777-7741
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34455
CT
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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