Provider First Line Business Practice Location Address:
413 LILLY RD. NE MAIL STOP DDH09
Provider Second Line Business Practice Location Address:
OLYMPIA EMERGENCY SERVICES, PLLC
Provider Business Practice Location Address City Name:
OLYMPIA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-493-4554
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2008