Individual
LAURA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 W ELM ST, GUSTINE, TX 76455-2500
(325) 330-0456
Mailing address
104 W ELM ST, GUSTINE, TX 76455-2500
(325) 667-1410
(325) 667-1410
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
TX
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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