Provider First Line Business Practice Location Address:
7410 DELAWARE LN
Provider Second Line Business Practice Location Address:
SEA-MAR COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
VANCOUVAR
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
91664-1408
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-896-5128
Provider Business Practice Location Address Fax Number:
360-896-5179
Provider Enumeration Date:
01/23/2006