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SALVADOR LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
310 HOLTON AVE, YAKIMA, WA 98902-3208
(509) 452-2508
(509) 452-7316
Mailing address
80 HOYT LANE, WAPATO, WA 98951-9753
(509) 388-3388

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA60743170
WA
363AM0700X
Medical Physician Assistant

Other

Enumeration date
08/28/2016
Last updated
12/13/2019
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