Organization
CONCHITALOPEZ
Active
Other names
Conchitalopez
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONCHITA ELEENA LOPEZ (I.P.)
(614) 235-3581
Entity
Organization
Contact information
Practice address
3122 SCOTTWOOD RD, COLUMBUS, OH 43227-3446
(614) 235-3581
Mailing address
3122 SCOTTWOOD RD, COLUMBUS, OH 43227-3446
(614) 235-3581
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078960
—
OH
Enumeration date
05/09/2007
Last updated
08/08/2008
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