Individual
JENNIFER ELISE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1041 SUNFLOWER, PARADISE, TX 76073-3219
(682) 554-5708
(940) 828-1460
Mailing address
1041 SUNFLOWER, PARADISE, TX 76073-3219
(682) 554-5708
(940) 828-1460
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83661
TX
163WD0400X
Diabetes Educator Registered Nurse
21700275
TX
Other
Enumeration date
08/09/2016
Last updated
04/16/2024
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