Provider First Line Business Practice Location Address:
VETERANS AFFAIRS HOSPITAL AMERICAN LAKE CAMPUS
Provider Second Line Business Practice Location Address:
VETERANS DRIVE, S.W.
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98493-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-583-1208
Provider Business Practice Location Address Fax Number:
253-589-4186
Provider Enumeration Date:
09/11/2006