Individual
GUADALUPE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2505 DRAIN DR, ST PAUL, TX 75098-7871
(972) 439-7508
Mailing address
2505 DRAIN DR, ST PAUL, TX 75098-7871
(972) 439-7508
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
226473
TX
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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