Provider First Line Business Practice Location Address:
2222 32ND AVE W
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:
98199-4044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-282-2881
Provider Business Practice Location Address Fax Number:
206-282-2817
Provider Enumeration Date:
12/15/2005