MS. PROVIDENCIA LOPEZ, CRNA
Nursing at Madison Ave, Mount Holly, NJ

License number
New Jersey 26NR11832500
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
License number
New Jersey 26NJ00231500
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
License number
New Jersey 26NR11832500
Category
Nursing
Type
Registered Nurse
Address
Address 2
175 Madison Ave, Mount Holly, NJ 08060
PO Box 551420, Fort Lauderdale, FL 33355
Phone
(609) 261-1660
(609) 261-4454 (Fax)
(800) 243-3839
(954) 839-2569 (Fax)
National Provider ID: 1336175413
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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