Provider First Line Business Practice Location Address:
12050 7TH AVE NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98177-4523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-245-3231
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2014