Individual
MR. CARLOS JUNIOR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
11525 VISTA DEL SOL DR, EL PASO, TX 79936-5629
(915) 855-3636
Mailing address
11025 VISTA DEL SOL DR APT 2256, EL PASO, TX 79935-4338
(915) 760-7122
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
203074
TX
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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