Individual
MS. DOROTHY DIONNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FORT MEADE, MD 20755-5800
(301) 677-8436
Mailing address
2480 LLEWELLYN AVE, KIMBROUGH AMBULATORY CARE CENTER, FORT MEADE, MD 20755-5800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R061171
MD
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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