Provider First Line Business Practice Location Address:
3639 MARTIN LUTHER KING WAY S
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:
98144-1339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-979-7714
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2006