Individual
DANIELLE ROSE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 PHILLIPS RD, SOMERSET, NJ 08873-2032
(908) 217-1143
Mailing address
6 PHILLIPS RD, SOMERSET, NJ 08873-2032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
829500
NY
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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