Provider First Line Business Practice Location Address:
510 7TH AVE S
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:
98104-2906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-332-9888
Provider Business Practice Location Address Fax Number:
206-332-9989
Provider Enumeration Date:
01/11/2007