Provider First Line Business Practice Location Address:
5215 46TH AVE S
Provider Second Line Business Practice Location Address:
ORCA SCHOOL
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98118-2313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-252-6907
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/28/2013