Individual
MS. TERRI LEE A. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
413 SIPAPU RD - BOX 6952, TAOS, NM 87571
(575) 758-5857
(575) 758-2832
Mailing address
PO BOX 2424, RANCHOS DE TAOS, NM 87557-2424
(575) 770-8749
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NM0066781208E
NM
Other
Enumeration date
01/25/2007
Last updated
05/26/2009
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