Individual
JACQUELINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
2811 GLEN HOLLOW DR, MCKINNEY, TX 75070-7107
(972) 658-1219
Mailing address
2811 GLEN HOLLOW DR, MCKINNEY, TX 75070-7107
(972) 658-1219
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80627
TX
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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