Individual
CRYSTAL LEIGH LIVEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23515 NE NOVELTY HILL RD, REDMOND, WA 98053-1996
(425) 898-8000
(425) 898-8005
Mailing address
11720 NE 130TH PL APT G12, KIRKLAND, WA 98034-2934
(971) 998-6037
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 60277325
WA
Other
Enumeration date
03/30/2013
Last updated
03/30/2013
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