Provider First Line Business Practice Location Address:
7101 MARTIN LUTHER KING JR. WAY S.
Provider Second Line Business Practice Location Address:
216
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-721-3589
Provider Business Practice Location Address Fax Number:
206-721-8900
Provider Enumeration Date:
10/04/2006