Provider First Line Business Practice Location Address:
400 S. 43RD STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF WASHINGTON - VALLEY MEDICAL CENTER
Provider Business Practice Location Address City Name:
RENTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-228-3450
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/28/2006