Individual
BRENDA SUSANA LOPEZ-CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 TIETON DR STE C, YAKIMA, WA 98908-3479
(509) 965-7100
(509) 966-9750
Mailing address
5301 TIETON DR STE C, YAKIMA, WA 98908-3479
(509) 965-7100
(509) 966-9750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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