Provider First Line Business Practice Location Address:
720 8TH AVE S
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-3032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-695-7573
Provider Business Practice Location Address Fax Number:
206-695-7606
Provider Enumeration Date:
03/25/2008