Individual
KATHLEEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11463 NW 80TH LN, DORAL, FL 33178-1418
(305) 646-8024
Mailing address
11463 NW 80TH LN, DORAL, FL 33178-1418
(305) 646-8024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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