JOSE ISRAEL LOPEZ

PEARL HARBOR, HI
NPI1922349968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-03-14
Last Update Date2013-03-14
Business Address
-- JOSE ISRAEL LOPEZ IDC
MDSU-1 BISHOP POINT BUILDING 17
PEARL HARBOR, HI 96860
Phone number: 808-471-9292
Mailing Address
-- JOSE ISRAEL LOPEZ IDC
MDSU-1 BISHOP POINT BUILDING 17
PEARL HARBOR, HI 96860
Phone number: 808-471-9292