| NPI | 1164279527 |
|---|---|
| Professional Name | JUAN CARLOS LOPEZ FRONTELA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WI 24-225) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-03 |