Provider First Line Business Practice Location Address:
11285 LAKE CITY WAY NE
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:
98125-6718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-363-7200
Provider Business Practice Location Address Fax Number:
206-367-8869
Provider Enumeration Date:
04/07/2006