Individual
ELLY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
52 ROCK CREEK DR, CORPUS CHRISTI, TX 78412-4214
(210) 913-9480
Mailing address
52 ROCK CREEK DR, CORPUS CHRISTI, TX 78412-4214
(210) 913-9480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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