BRAXTON DANIEL LOPEZ

EVERETT, WA
NPI1386332807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-04-25
Last Update Date2023-05-04
Business Address
BRAXTON DANIEL LOPEZ AAC
811 MADISON ST
EVERETT, WA 98203-4543
Phone number: 425-212-4200
Mailing Address
BRAXTON DANIEL LOPEZ AAC
PO BOX 2569
EVERETT, WA 98213-0569
Phone number: 425-212-4200