Provider First Line Business Practice Location Address:
6951 MLK JR WAY S STE 101
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:
98118-3545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-721-7200
Provider Business Practice Location Address Fax Number:
206-339-7200
Provider Enumeration Date:
10/06/2009