Individual
SANDRA REYES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
131 FM 3168, RAYMONDVILLE, TX 78580-3605
(956) 689-2196
(956) 689-5937
Mailing address
1706 TREASURE HILLS BLVD, HARLINGEN, TX 78550-8911
(956) 365-6750
(956) 365-6779
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
956241
LICENSE
—
Enumeration date
09/16/2010
Last updated
09/16/2010
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