GABRIEL THOMAS LOPEZ

GLENDALE, AZ
NPI1659846988
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  7939)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-10-13
Last Update Date2020-08-17
Business Address
Mr. GABRIEL THOMAS LOPEZ
7419 W PLANADA LN
GLENDALE, AZ 85310-5886
Phone number: 602-571-3364
Mailing Address
Mr. GABRIEL THOMAS LOPEZ
7419 W PLANADA LN
GLENDALE, AZ 85310-5886
Phone number: 602-571-3364