Provider First Line Business Practice Location Address:
9600 VETERANS DRIVE
Provider Second Line Business Practice Location Address:
VETERANS AFFAIRS
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-583-2082
Provider Business Practice Location Address Fax Number:
253-589-4105
Provider Enumeration Date:
02/13/2008