Individual
EMILIA SUE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2008 EAST 2110 ROAD, HUGO, OK 74743
(903) 715-4823
Mailing address
2008 EAST 2110, HUGO, OK 74743
(903) 715-4823
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
115250
OK
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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