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Individual

JENNIFER LORRAINE LOPEZ MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
300 WAYMORE DR, EL PASO, TX 79902-1604
(915) 577-2600
Mailing address
300 WAYMORE DR, EL PASO, TX 79902-1604
(915) 577-2600

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132238
TX

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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