Provider First Line Business Practice Location Address:
4700 POINT FOSDICK DRIVE NW SUITE 220
Provider Second Line Business Practice Location Address:
PENINSULA FAMILY MEDICAL CENTER
Provider Business Practice Location Address City Name:
GIG HARBOR
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-851-5121
Provider Business Practice Location Address Fax Number:
253-851-3059
Provider Enumeration Date:
01/11/2006