Individual
MR. CARLOS ANIBAL LOPEZ EL MANKABADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
210 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3369
(520) 829-8609
Mailing address
2004 HARNEY ST, VANCOUVER, WA 98660-2452
(520) 829-8609
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60293770
WA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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