Provider First Line Business Practice Location Address:
PSHCS 9600 VETERAN S DR
Provider Second Line Business Practice Location Address:
ATTN; (119)
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98493-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-583-2349
Provider Business Practice Location Address Fax Number:
253-589-4062
Provider Enumeration Date:
09/14/2006