Individual
TERESA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 471-4553
(253) 722-2184
Mailing address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 471-4553
(253) 722-2184
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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