MIA M. LOPEZ

SAN ANGELO, TX
NPI1366987927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT4290)
Enumeration Date2017-01-05
Last Update Date2021-01-26
Business Address
MIA M. LOPEZ LAT
2237 S JACKSON ST
SAN ANGELO, TX 76904-5131
Phone number: 325-481-2257
Mailing Address
MIA M. LOPEZ LAT
4450 SUNSET DR
SAN ANGELO, TX 76901-5611
Phone number: 325-481-2257