OMAR DAVID LOPEZ

MARIETTA, GA
NPI1164162889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-30
Last Update Date2022-03-30
Business Address
OMAR DAVID LOPEZ
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 864-305-8237
Mailing Address
OMAR DAVID LOPEZ
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 864-305-8237