Individual
IVYROSE MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
56 CONGER AVE, BURLINGTON, VT 05401-5234
(802) 310-8719
Mailing address
56 CONGER AVE, BURLINGTON, VT 05401-5234
(802) 310-8719
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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