Provider First Line Business Practice Location Address:
1320 UNIVERSITY ST
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:
98101-2837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-325-5700
Provider Business Practice Location Address Fax Number:
206-328-5005
Provider Enumeration Date:
04/23/2007