RICARDO JAVIER LOPEZ HANSON

JOHNSON CITY, TN
NPI1841751229
Professional NameRICARDO JAVIER LOPEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-27
Last Update Date2019-03-27
Business Address
RICARDO JAVIER LOPEZ HANSON MD
325 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7219
Mailing Address
RICARDO JAVIER LOPEZ HANSON MD
PO BOX 70575
JOHNSON CITY, TN 37614-1708
Phone number: 423-439-6266