Provider First Line Business Practice Location Address:
1015 8TH AVE NORTH
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:
98109-3504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-287-3900
Provider Business Practice Location Address Fax Number:
206-287-3905
Provider Enumeration Date:
04/17/2007