Provider First Line Business Practice Location Address:
4040 S. 188TH ST.
Provider Second Line Business Practice Location Address:
#201 HEALTHPOINT
Provider Business Practice Location Address City Name:
SEATAC
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98188-5028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-277-7201
Provider Business Practice Location Address Fax Number:
206-277-7202
Provider Enumeration Date:
10/21/2009