Provider First Line Business Practice Location Address:
500 5TH AVE
Provider Second Line Business Practice Location Address:
JAIL HEALTH SERVICES 6W
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-2332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-296-1770
Provider Business Practice Location Address Fax Number:
206-296-1771
Provider Enumeration Date:
11/29/2006