Individual
MS. JESSICA AYALA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 MEMORIAL MEWS ST APT A, HOUSTON, TX 77079-8408
(832) 331-9438
Mailing address
708 MEMORIAL MEWS ST APT A, HOUSTON, TX 77079-8408
(832) 331-9438
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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