Individual
KANDACE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15790 DOOLEY RD STE 200, ADDISON, TX 75001-5722
(509) 554-0888
Mailing address
12508 FAIR LN, FRISCO, TX 75036-3728
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT123313
TX
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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