Provider First Line Business Practice Location Address:
5600 KIRKWOOD PL N STE A
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:
98103-5964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-903-6111
Provider Business Practice Location Address Fax Number:
206-903-6125
Provider Enumeration Date:
03/26/2007