Provider First Line Business Practice Location Address:
BOX 354070 GRAVES BLDG
Provider Second Line Business Practice Location Address:
UNIVERSITY OF WASHINGTON TRAINING ROOM
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-685-8419
Provider Business Practice Location Address Fax Number:
206-685-3521
Provider Enumeration Date:
02/09/2006