Individual
MRS. MONICA M MEDINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5122 STAPLEHURST ST, SAN ANTONIO, TX 78228-3656
(361) 489-6246
Mailing address
5122 STAPLEHURST ST, SAN ANTONIO, TX 78228-3656
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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