Provider First Line Business Practice Location Address:
5601 32ND AVE SW
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:
98126-2915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-938-7922
Provider Business Practice Location Address Fax Number:
206-299-3651
Provider Enumeration Date:
04/09/2009