Provider First Line Business Practice Location Address:
KIRKPATRICK FAMILY CARE
Provider Second Line Business Practice Location Address:
1706 WASHINGTON WAY
Provider Business Practice Location Address City Name:
LONGVIEW
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98632-2495
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-423-0390
Provider Business Practice Location Address Fax Number:
360-577-3865
Provider Enumeration Date:
05/03/2018