Provider First Line Business Practice Location Address:
COHE ALLIANCE OF WESTERN WA
Provider Second Line Business Practice Location Address:
1149 MARKET ST. MS 10-20
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98402-3515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-693-0081
Provider Business Practice Location Address Fax Number:
253-552-5631
Provider Enumeration Date:
12/21/2023