Individual
JESSICA MARIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9710 STATE AVE, MARYSVILLE, WA 98270-2232
(360) 653-1742
(360) 657-7910
Mailing address
9710 STATE AVE, MARYSVILLE, WA 98270-2232
(360) 653-1742
(360) 657-7910
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00175784
WA
163WM0102X
Maternal Newborn Registered Nurse
RN00175784
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/22/2017
Last updated
06/24/2019
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