Individual
JOANNA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10305 SHANNON PL, EL PASO, TX 79925-1620
(915) 383-0908
Mailing address
10305 SHANNON PL, EL PASO, TX 79925-1620
(915) 383-0908
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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