Provider First Line Business Practice Location Address:
9600 VETERANS DRIVE A 116 DM
Provider Second Line Business Practice Location Address:
VA PUGET SOUND HEALTH CARE SYSTEM
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98493-2539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-583-1682
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/29/2008