Provider First Line Business Practice Location Address:
1600 E JEFFERSON ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122-5698
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-386-2020
Provider Business Practice Location Address Fax Number:
206-299-3812
Provider Enumeration Date:
07/05/2007