Individual
REBECA LOPEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501-4338
(931) 528-2531
Mailing address
310 JULIA DR, COOKEVILLE, TN 38506-4233
(931) 261-1266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79798
TN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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