Individual
MR. OSCAR J. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EM 4013
Contact information
Practice address
10135 STRAND DR, PALMER, AK 99645-2637
(907) 745-4882
(907) 745-4882
Mailing address
PO BOX 2637, PALMER, AK 99645-2637
(907) 745-4882
(907) 745-4882
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
184136
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EM4013
—
AK
Enumeration date
08/18/2008
Last updated
08/18/2008
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