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Jennifer Lopez

NPI 1366950453 · on the registry since 2018 · sole proprietor

Practice

Address
8770 W Lane Ave
Glendale, AZ 85305
Phone
(623) 262-3509

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona