Provider First Line Business Practice Location Address:
2000 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEDRO WOOLLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98284-4327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-856-6021
Provider Business Practice Location Address Fax Number:
360-856-7300
Provider Enumeration Date:
09/20/2006