Kindly complete your registration by providing the details below.

Personal & Professional:

Personal & Professional Information

Last Name:
Lopez
First Name:
Raquel
title_add:
Dr.
Phone #:
34 651401194
Hospital / Institution / Company:
Hospital Universitario y Polit‚cnico de La Fe
Classification:
Respiratory Physician
What is your expectation from becoming a member of the ICA?:
To learn more about the illness and to share experiences
Address:

Affiliation

Street and House Number:
Constitucion 62-11
City:
Torrent
Zip Code:
46900
State:
0
Country:
Spain
Membership benefits:

Membership benefits

Site Information:

Site Information

program for the treatment:
Yes
program set up:
2016
currently taken care:
10
approximate number:
5
normally referred:
Hospital 12 OCTUBRE