Provider First Line Business Practice Location Address:
2150 N. 122ND STREET
Provider Second Line Business Practice Location Address:
PUGET SOUND CHRISTIAN CLINIC
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-363-4105
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/12/2006