Individual
MS. JUDITH MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10417 SUNFLOWER DR, WACO, TX 76708-5639
(254) 230-7577
Mailing address
10417 SUNFLOWER DR, WACO, TX 76708-5639
(254) 230-7577
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326773
TX
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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