Provider First Line Business Practice Location Address:
1242 18TH AVE E
Provider Second Line Business Practice Location Address:
STEVENS ELEMENTARY
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98112-3321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-252-3407
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2013