Individual
JULIO CESAR LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13515 SE 208TH ST, KENT, WA 98042-3024
(509) 398-6883
Mailing address
13515 SE 208TH ST, KENT, WA 98042-3024
(509) 398-6883
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC9489
WA
171R00000X
Interpreter
SC7722
WA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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