Individual
MARICELA MARTINEZ DE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3819 MOLER ST, DALLAS, TX 75211-6041
(469) 387-8498
Mailing address
3819 MOLER ST, DALLAS, TX 75211-6041
(469) 387-8498
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TX
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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