KIRT LANE

LONGVIEW, WA
NPI1013541341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2020-02-25
Last Update Date2023-09-18
Business Address
KIRT LANE CPC
1408 12TH AVENUE
LONGVIEW, WA 98632-3822
Phone number: 360-998-3050
Mailing Address
KIRT LANE CPC
PO BOX 2394
LONGVIEW, WA 98632
Phone number: 360-200-5419