Individual
MISS CHRISTEN NECOLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.T. (R)
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
PO BOX 158, DE BERRY, TX 75639-0158
(318) 422-5678
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
463168
LA
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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