Individual
MRS. AGNES M LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8634 OLD OAK DR, IRVING, TX 75063-7207
(214) 783-5126
Mailing address
8634 OLD OAK DR, IRVING, TX 75063-7207
(214) 783-5126
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004411
TX
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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