Individual
KATHY SULEIDY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1302 SE 25TH LOOP, SUITE 104, OCALA, FL 34471-1027
(352) 693-8755
Mailing address
15900 SW 35TH COURT RD, APT 1, OCALA, FL 34473-3357
(352) 693-8755
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 68516
FL
Other
Enumeration date
11/10/2012
Last updated
11/10/2012
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