Individual
MONICA JEAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1362 KENAI AVE UNIT B, JBER, AK 99505-1211
(214) 797-9735
Mailing address
1362 KENAI AVE UNIT B, JBER, AK 99505-1211
(214) 797-9735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38117
AK
163W00000X
Registered Nurse
844182
TX
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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