Individual
MS. BRENDA LILIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1100 E ALAN AVE, CARROLLTON, TX 75006-3930
(502) 434-1291
Mailing address
1100 E ALAN AVE, CARROLLTON, TX 75006-3930
(502) 434-1291
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT127041
TX
225700000X
Massage Therapist
Primary
MT127041
TX
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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