Individual
SAMANTHA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N LOOP 1604 E, SUITE 175, SAN ANTONIO, TX 78232-1258
(210) 545-4422
Mailing address
400 N LOOP 1604 E, SUITE 175, SAN ANTONIO, TX 78232-1258
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86002381
TX
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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