Individual
BRENDA E LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2620 RUBY VISTA DR, ELKO, NV 89801-1638
(775) 753-7626
Mailing address
2620 RUBY VISTA DR, ELKO, NV 89801-1638
(775) 753-7626
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
CNA036328
NV
374U00000X
Home Health Aide
Primary
CNA036328
NV
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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