Provider First Line Business Practice Location Address:
13120 NE 70TH PL
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
KIRKLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-889-8884
Provider Business Practice Location Address Fax Number:
425-889-9464
Provider Enumeration Date:
12/05/2006