Provider First Line Business Practice Location Address:
1121 33RD AVE
Provider Second Line Business Practice Location Address:
MADRONA K-8
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-252-3100
Provider Business Practice Location Address Fax Number:
206-252-3101
Provider Enumeration Date:
11/26/2012