Provider First Line Business Practice Location Address:
3300 E UNION ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122-3372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-399-4529
Provider Business Practice Location Address Fax Number:
206-260-1777
Provider Enumeration Date:
02/12/2008