Individual
MARLENA T LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 E 31ST PL, YUMA, AZ 85365-6553
(928) 341-4544
Mailing address
4343 E 31ST PL, YUMA, AZ 85365-6553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4515
AZ
Other
Enumeration date
05/07/2012
Last updated
03/19/2022
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