Individual
GRANT LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 13TH ST, EVERETT, WA 98201-1621
(425) 297-5590
Mailing address
11903 46TH DR SE, EVERETT, WA 98208-9156
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
573270
WA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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