Provider First Line Business Practice Location Address:
4735 E. MARGINAL WAY SOUTH
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:
98134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-766-6400
Provider Business Practice Location Address Fax Number:
206-766-6432
Provider Enumeration Date:
09/29/2010