Individual
GABRIELA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 S ALDER ST, BURLINGTON, WA 98233-2201
(360) 630-9840
Mailing address
623 S ALDER ST, BURLINGTON, WA 98233-2201
(360) 630-9840
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55875
WA
171R00000X
Interpreter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC55875
—
WA
Enumeration date
04/22/2021
Last updated
04/22/2021
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