Provider First Line Business Practice Location Address:
UWMC
Provider Second Line Business Practice Location Address:
1959 NE PACIFIC MAIL CODE 356118
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-598-4548
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/02/2006