Individual
KAYLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 IOWA ST, BELLINGHAM, WA 98229-4702
(360) 734-9555
(360) 734-9556
Mailing address
1756 IOWA ST, BELLINGHAM, WA 98229-4702
(360) 734-9555
(360) 734-9556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60634426
WA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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