MARICEL NOEMI LOPEZ

GOSHEN, IN
NPI1053908897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  1096964)
Enumeration Date2020-12-28
Last Update Date2020-12-28
Business Address
MARICEL NOEMI LOPEZ RD, LD
200 HIGH PARK AVE
GOSHEN, IN 46526-4810
Phone number: 574-364-2868
Mailing Address
MARICEL NOEMI LOPEZ RD, LD
14070 KIMBERLY LN
MIDDLEBURY, IN 46540-9727
Phone number: 574-612-7563