Individual
MR. KELVIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 91ST AVE NE, LAKE STEVENS, WA 98258-2420
(425) 334-1523
Mailing address
718 91ST AVE NE, LAKE STEVENS, WA 98258-2420
(425) 334-1523
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00017824
WA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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