Provider First Line Business Practice Location Address:
700 LILLY ROAD NE
Provider Second Line Business Practice Location Address:
OLYMPIA MEDICAL CENTER
Provider Business Practice Location Address City Name:
OLYMPIA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98506-5196
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-923-7621
Provider Business Practice Location Address Fax Number:
360-923-7182
Provider Enumeration Date:
01/12/2007