Provider First Line Business Practice Location Address:
VAPSHCS SEATTLE DIVISION RCS-117-S
Provider Second Line Business Practice Location Address:
1660 S COUMBIAN WAY
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-277-4389
Provider Business Practice Location Address Fax Number:
206-764-2263
Provider Enumeration Date:
07/07/2006