Provider First Line Business Practice Location Address:
MAGNUSON HEALTH SCIENCES BUILDING, F WING UW BOX 357235
Provider Second Line Business Practice Location Address:
1705 NE PACIFIC STREET
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-741-5556
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/09/2024