Individual
JACKELINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 4TH AVE, SEATTLE, WA 98121-2308
(206) 477-2050
Mailing address
2124 4TH AVE, SEATTLE, WA 98121-2308
(206) 477-2050
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60784518
WA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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