MAYRA LOPEZ

RIDGEWOOD, NJ
NPI1891992236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ00115200)
Enumeration Date2007-06-29
Last Update Date2012-12-04
Business Address
-- MAYRA LOPEZ APN
579 FRANKLIN TPKE
RIDGEWOOD, NJ 07450-1990
Phone number: 201-251-3491
Mailing Address
-- MAYRA LOPEZ APN
579 FRANKLIN TPKE
RIDGEWOOD, NJ 07450-1990
Phone number: 201-251-3491
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