Provider First Line Business Practice Location Address:
LAKEVIEW OF KIRKLAND
Provider Second Line Business Practice Location Address:
6505 LAKEVIEW DRIVE
Provider Business Practice Location Address City Name:
KIRKLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-803-6911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2020