Provider First Line Business Practice Location Address:
4800 SAND POINT WAY NE
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSP & REG MED CTR, MEDICAL GENETICS M2-9
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-987-2664
Provider Business Practice Location Address Fax Number:
206-987-2495
Provider Enumeration Date:
01/11/2006