Individual
MARY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 S 35TH AVE, YAKIMA, WA 98902-3644
(509) 457-6147
Mailing address
405 S 35TH AVE, YAKIMA, WA 98902-3644
(509) 457-6147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN001327527
WA
Other
Enumeration date
11/21/2006
Last updated
02/18/2011
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