Individual
JAIME LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
271 SALINAS AVE, RIO GRANDE CITY, TX 78582-9616
(956) 416-8249
Mailing address
271 SALINAS AVE, RIO GRANDE CITY, TX 78582-9616
(956) 416-8249
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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