Most Relevant Information
Provider Data
NPI Number: | 1003039397 |
Provider Name: | JOANNA KATHERINE REEVE LMP |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | MA00019883 |
Most Important Dates
Enumeration Date: | 04/11/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
10135 NE 112TH PL
KIRKLAND
WA
980334458
Practice Location Phone/Fax
Phone: | 2062270058 |
Fax: | 4255761110 |
Provider Mailing Location
10135 NE 112TH PL
KIRKLAND
WA
980334458
Provider Mailing Phone/Fax
Phone: | 2062270058 |
Fax: | 4255761110 |