NPI 1255808432

Juan Miguel Lopez

Practitioner Home Delivered Meals Las Vegas, NV

Practice location

Address: 953 E Sahara Ave STE A1, Las Vegas, NV 89104-3028
Phone: (702) 321-5152
Mailing address: 30 Dovewood Ave, Las Vegas, NV 89183-5670

Registered specialties

Home Delivered Meals Primary

Suppliers Taxonomy 332U00000X

Other Home Delivered Meals providers in Nevada →

Registry record

NPI: 1255808432
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Oct 2018
Record last updated: 25 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.