Provider First Line Business Practice Location Address:
6973 COAL CREEK PKWY SE
Provider Second Line Business Practice Location Address:
SUITE B6
Provider Business Practice Location Address City Name:
NEWCASTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98059-3136
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-641-2500
Provider Business Practice Location Address Fax Number:
425-865-9353
Provider Enumeration Date:
08/31/2006