Individual
CHARNELLE RENITA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9603 HOMESTEAD RD APT 40C, HOUSTON, TX 77016-4470
(346) 247-4093
Mailing address
9603 HOMESTEAD RD APT 40C, HOUSTON, TX 77016-4470
(346) 247-4093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
979558
TX
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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