Individual
GLORIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14736 SW 88TH ST, MIAMI, FL 33196-1481
(305) 387-3300
Mailing address
14736 SW 88TH ST, MIAMI, FL 33196-1481
(305) 387-3300
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
MEDICAL ASSISTANT
FL
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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