Individual
MARICELI LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
611 S 44TH AVE, YAKIMA, WA 98908-3399
(509) 314-0343
Mailing address
1311 S 7TH AVE, YAKIMA, WA 98902-5504
(509) 969-3433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60273665
WA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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