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Individual

MRS. JEANNE MARIE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
19141 STONE OAK PKWY, SUITE 104 BOX 42, SAN ANTONIO, TX 78258-3366
(210) 832-8111
(210) 832-8117
Mailing address
19141 STONE OAK PKWY, SUITE 104 BOX 42, SAN ANTONIO, TX 78258-3366
(210) 832-8111
(210) 832-8117

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
753777
TX
171M00000X
Case Manager/Care Coordinator
753777
TX

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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