Individual
MRS. KANDICE CRYSTAL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
11310 MELODY DR, APT. 4-205, NORTHGLENN, CO 80234-3053
(720) 325-6012
Mailing address
11310 MELODY DR, APT. 4-205, NORTHGLENN, CO 80234-3053
(720) 325-6012
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00751319
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00751319
STATE OF COLORADO
CO
Enumeration date
09/05/2013
Last updated
09/05/2013
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