Individual
JESSICA RAE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(956) 847-6011
Mailing address
3226 PEBBLE TRACE DR, HOUSTON, TX 77068-2089
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41283
TX
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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