Individual
ALEJANDRO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 BROADWAY ST, VANCOUVER, WA 98663-3229
(360) 910-8748
Mailing address
2400 BROADWAY ST, VANCOUVER, WA 98663-3229
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
60445200
WA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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