Individual
KEILY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 COLUMBIA RD NW, WASHINGTON, DC 20009-3662
(202) 606-9805
Mailing address
5182 EASTERN AVE NE APT 103, WASHINGTON, DC 20011-2768
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/23/2024
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