Provider First Line Business Practice Location Address:
12108 PACIFIC AVENUE PACIFIC LUTHERAN UNIVERSITY
Provider Second Line Business Practice Location Address:
EAST CAMPUS, SUITE G-10
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98447-0003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-535-7354
Provider Business Practice Location Address Fax Number:
253-535-7071
Provider Enumeration Date:
11/07/2006