Provider First Line Business Practice Location Address:
9040 FITZSIMMONS DR
Provider Second Line Business Practice Location Address:
MCHJ-PV- DEPARTMENT OF PREVENTIVE MEDICINE
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-426-5082
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2008