IndividualActive
Jennifer Lopez
NPI 1992307805 · Supports Brokerage Agency · Mogadore, OH
Jennifer Lopez is a Supports Brokerage Agency provider in Mogadore, OH (NPI 1992307805).
Provider details
- NPI number
- 1992307805
- Entity type
- Individual
- Primary specialty
- Supports Brokerage AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Practice location
3078 State Route 43
Mogadore, OH 44260-9773
Phone: (970) 314-1357
Street-level locationGet directions
Mailing address
3078 State Route 43
Mogadore, OH 44260-9773
Registry dates
- Enumerated
- 2020-11-15
- Last updated
- 2020-11-15
- Certified
- 2020-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.