Individual
MRS. AMBER J LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMP
Contact information
Practice address
718 S COLLEGE AVE, COLLEGE PLACE, WA 99324-1519
(509) 540-1021
Mailing address
718 S COLLEGE AVE, COLLEGE PLACE, WA 99324-1519
(509) 540-1021
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60224870
WA
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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