Individual
MIRTHALA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 STARR ST STE 2, MERCEDES, TX 78570-2736
(956) 514-1551
Mailing address
510 S CASA RD, PHARR, TX 78577-2804
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41606
TX
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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