Individual
JANETTE GUADALUPE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
(956) 627-2717
Mailing address
2714 ALAMO ST, WESLACO, TX 78599-9426
(956) 627-2717
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
329381
TX
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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