Organization
JENNIFER LOPEZ, RD, PLLC
Active
Organization
JENNIFER LOPEZ, RD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LOPEZ RDN, LD, CDCES (OWNER)
(682) 554-5708
Entity
Organization
Contact information
Practice address
1041 SUNFLOWER, PARADISE, TX 76073-3219
(682) 554-5708
Mailing address
1041 SUNFLOWER, PARADISE, TX 76073-3219
(682) 554-5708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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