Provider First Line Business Practice Location Address:
VA PUGET SOUND HEALTH CARESYSTEM-AMERICAN LAKE DIVISION
Provider Second Line Business Practice Location Address:
9600 VETERANS DRIVE
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98493
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-4851
Provider Business Practice Location Address Fax Number:
253-968-3278
Provider Enumeration Date:
05/31/2007