Individual
KARLA IVETH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC56463
Contact information
Practice address
7719 56TH AVENUE CT NW, GIG HARBOR, WA 98335-7476
(253) 310-8021
Mailing address
7719 56TH AVENUE CT NW, GIG HARBOR, WA 98335-7476
(253) 310-8021
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC56463
WA
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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