Individual
JENNIFER MONIQUE LOPEZ ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10855 BLACK SANDS LN, EL PASO, TX 79924-1150
(915) 301-2695
Mailing address
10855 BLACK SANDS LN, EL PASO, TX 79924-1150
(915) 301-2695
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
347348
TX
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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