Individual
SANDRA ELENA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 W 14TH ST, GREELEY, CO 80634-2720
(509) 654-4814
Mailing address
3909 W 14TH ST, GREELEY, CO 80634-2720
(509) 654-4814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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