IVAN LOPEZ

EL PASO, TX
NPI1770276628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10085745)
Enumeration Date2023-05-29
Last Update Date2023-05-30
Business Address
IVAN LOPEZ
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-8000
Mailing Address
IVAN LOPEZ
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: