Individual
ROSA LOPEZ GRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 N COLLEGE ST, GEORGETOWN, TX 78626-4105
(512) 917-1009
Mailing address
711 N COLLEGE ST, GEORGETOWN, TX 78626-4105
(512) 917-1009
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
617009
TX
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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