IVELISSE SOCORRO LOPEZ

JACKSONVILLE, FL
NPI1013055979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  3961)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- IVELISSE SOCORRO LOPEZ P.T.
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4312
Phone number: 904-858-7200
Mailing Address
-- IVELISSE SOCORRO LOPEZ P.T.
12979 FRINGETREE DR W
JACKSONVILLE, FL 32246-1152
Phone number: 904-982-5007
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