ELDEN ISAAC LOPEZ SAMAYOA

PASCO, WA
NPI1699752295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: WA  MD00027394)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CA  A49982)
Enumeration Date2005-12-27
Last Update Date2015-12-08
Business Address
-- ELDEN ISAAC LOPEZ SAMAYOA MD
4719 W MARGARET ST
PASCO, WA 99301-2822
Phone number: 909-486-3206
Mailing Address
-- ELDEN ISAAC LOPEZ SAMAYOA MD
4719 W MARGARET ST
PASCO, WA 99301-2822
Phone number: 909-486-3206