Individual
JAN BYRON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN RN
Contact information
Practice address
21008 76TH AVE W, EDMONDS, WA 98026-7104
(425) 778-0107
(425) 670-4187
Mailing address
21008 76TH AVE W, EDMONDS, WA 98026-7104
(425) 778-0107
(425) 670-4187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60710403
WA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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