Provider First Line Business Practice Location Address:
500 5TH AVE
Provider Second Line Business Practice Location Address:
MS KCF-PH-0600
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-2332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-296-1187
Provider Business Practice Location Address Fax Number:
206-296-4035
Provider Enumeration Date:
01/09/2007