Provider First Line Business Practice Location Address:
3670 STONE WAY N
Provider Second Line Business Practice Location Address:
TARA NELSON AT BASTYR CENTER FOR NATURAL HEALTH
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98103-8004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-841-1855
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2007