Jennifer Ashley Lopez

NPI #1588963136 in Santa Rosa, New Mexico

Provider Information

NPI Number
1588963136
Entity Type
Individual
Name
Jennifer Ashley Lopez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Mar 22, 2011
Last Updated
Mar 22, 2011

Practice Location

Address
501 S 4TH ST
ZIP Code
88435-2417
Phone
(575) 472-0745

Specialties & Taxonomy Codes

Specialty
Counselor

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