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Jacqueline Lopez

NPI 1598591364 · on the registry since 2024 · sole proprietor

Practice

Address
60 Shaker Rd Ste 4
East Longmeadow, MA 01028
Phone
(860) 394-8203
Organisation at this address
Mean Bean Shop Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-10

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 Massachusetts