KENNETH JESSE LOPEZ

FALLS CHURCH, VA
NPI1396596904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies208000000X Pediatrics
(Licence: VA  0116039223)
Enumeration Date2024-04-01
Last Update Date2024-06-18
Business Address
KENNETH JESSE LOPEZ
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-6652
Mailing Address
KENNETH JESSE LOPEZ
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-6652