Provider First Line Business Practice Location Address:
6505 FRANCIS AVE. N.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98103-5243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-781-7165
Provider Business Practice Location Address Fax Number:
206-781-7165
Provider Enumeration Date:
05/01/2007