Individual
JOSEPHINE LOPEZ FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 DEREK RD, EDDY, TX 76524-3900
(254) 661-7676
Mailing address
108 DEREK RD, EDDY, TX 76524-3900
(254) 661-7676
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
62501
TX
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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