Individual
VERONICA D LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S 21ST PL, MOUNT VERNON, WA 98274-4631
(360) 420-0696
Mailing address
912 S 21ST PL, MOUNT VERNON, WA 98274-4631
(360) 420-0696
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC15029
WA
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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