Individual
RUTHZAINE LOPEZ BOLANO
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 453-1344
(509) 453-2209
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD61589194
WA
2084P0804X
Child & Adolescent Psychiatry Physician
NA
DC
Other
Enumeration date
04/24/2019
Last updated
02/20/2025
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