Provider First Line Business Practice Location Address:
1708 EAST 44TH STREET
Provider Second Line Business Practice Location Address:
EASTSIDE TANBARA MEDICAL
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-471-4553
Provider Business Practice Location Address Fax Number:
253-474-5396
Provider Enumeration Date:
11/02/2006