Provider First Line Business Practice Location Address:
9208 ROOSEVELT WAY NE
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:
98115-2845
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-529-7700
Provider Business Practice Location Address Fax Number:
206-523-7702
Provider Enumeration Date:
03/05/2010