Individual
MRS. ELIZABETH BONILLA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
10536 MONTWOOD DR STE D, EL PASO, TX 79935-2707
(915) 740-1254
Mailing address
10536 MONTWOOD DR STE D, EL PASO, TX 79935-2707
(915) 740-1254
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT040619
TX
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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