BIANCA MICHELLE LOPEZ

GOODYEAR, AZ
NPI1356936868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  8679)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-03-05
Last Update Date2021-12-15
Business Address
BIANCA MICHELLE LOPEZ PA
13677 W MCDOWELL RD
GOODYEAR, AZ 85395-2635
Phone number: 623-882-1500
Mailing Address
BIANCA MICHELLE LOPEZ PA
22137 W MESQUITE DR
BUCKEYE, AZ 85326-5538
Phone number: 602-814-6812