THALES DEIVES LOPES

APO, AP
NPI1760050272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX  1129516)
Enumeration Date2021-06-12
Last Update Date2023-11-01
Business Address
THALES DEIVES LOPES PMHNP
USAG HUMPHREYS JENKINS MEDICAL CLINIC BLDG 3030
APO, AP 96271
Phone number: 315-737-1411
Mailing Address
THALES DEIVES LOPES PMHNP
15012 GEORGIA AVE
ROCKVILLE, MD 20853-1848
Phone number: 240-389-8213
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