Individual
JONATHAN P LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 228TH AVE NE, SAMMAMISH, WA 98074-7241
(425) 868-6181
Mailing address
630 228TH AVE NE, SAMMAMISH, WA 98074-7241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61149377
WA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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