Individual
YOYMA PEDROSO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4521 192ND AVE SE, NOBLE, OK 73068
(941) 284-4685
Mailing address
4521 192ND AVE SE, NOBLE, OK 73068-6018
(941) 284-4685
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
077789
PR
163WM0705X
Medical-Surgical Registered Nurse
RN9350648
FL
163WX0800X
Orthopedic Registered Nurse
Primary
RN9350648
FL
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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