Provider First Line Business Practice Location Address:
1500 116TH AVE NE
Provider Second Line Business Practice Location Address:
AUDIOLOGY M/S CB-12
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004-3829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-884-5467
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2009