SANDRA B LOPEZ

PORT ST LUCIE, FL
NPI1770676884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  pa9103461)
Enumeration Date2006-10-02
Last Update Date2009-01-30
Business Address
-- SANDRA B LOPEZ pa
9850 S FEDERAL HIGHWAY
PORT ST LUCIE, FL 34972
Phone number: 772-335-1500
Mailing Address
-- SANDRA B LOPEZ pa
5807 NW ALLYSE DR
PORT ST LUCIE, FL 34986-4650
Phone number: 772-905-2583
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