Individual
MAYRA F LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
8605 N 19TH ST, MCALLEN, TX 78504-6173
(956) 784-2703
Mailing address
PO BOX 6506, MCALLEN, TX 78502-6506
(956) 784-2703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07592
TX
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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