Provider First Line Business Practice Location Address:
510 TACOMA AVE S
Provider Second Line Business Practice Location Address:
PIERCE COUNTY ALLIANCE
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98402-5416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-259-0342
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2014