Individual
NATHALIA RAYANE SILVA WANDERLEY LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3434 12TH AVE NE, OLYMPIA, WA 98506-5175
(360) 413-8470
Mailing address
3434 12TH AVE NE, OLYMPIA, WA 98506-5175
(360) 413-8470
(360) 413-8819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD61564303
WA
Other
Enumeration date
03/22/2021
Last updated
12/23/2024
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