Individual
MRS. HALIE JEAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61 WASHINGTON ST, MARLBOROUGH, MA 01752-2225
(508) 762-2367
Mailing address
61 WASHINGTON ST, MARLBOROUGH, MA 01752-2225
(508) 762-2367
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN2322057
MA
163WS0200X
School Registered Nurse
RN2322057
MA
Other
Enumeration date
05/24/2018
Last updated
03/21/2023
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