Individual
JESSICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1305 SANDRA AVE APT A, WARRENSBURG, MO 64093-7874
(660) 473-0418
Mailing address
1305 SANDRA AVE APT A, WARRENSBURG, MO 64093-7874
(660) 473-0418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016033599
MO
Other
Enumeration date
11/17/2017
Last updated
04/25/2021
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