Individual
LEONEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5517 N 17TH AVE, PHOENIX, AZ 85015-2516
(602) 473-2631
Mailing address
5517 N 17TH AVE, PHOENIX, AZ 85015-2516
(602) 473-2631
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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