DANIEL LOPEZ

VANCOUVER, WA
NPI1407344302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD61159118)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-04-25
Last Update Date2021-08-08
Business Address
DANIEL LOPEZ
16811 SE MCGILLIVRAY BLVD
VANCOUVER, WA 98683-3404
Phone number: 360-735-8100
Mailing Address
DANIEL LOPEZ
40918 N PARKER CT
PHOENIX, AZ 85086-2712
Phone number: 480-735-8934