Provider First Line Business Practice Location Address:
10050 NE 10TH ST SUITE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-455-2020
Provider Business Practice Location Address Fax Number:
425-455-0310
Provider Enumeration Date:
12/31/2012