Individual
JOSEFINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13515 SE 208TH ST, KENT, WA 98042-3024
(509) 431-8351
Mailing address
13515 SE 208TH ST, KENT, WA 98042-3024
(509) 431-8351
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC10689
WA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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