Provider First Line Business Practice Location Address:
4400 SW 320TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FEDERAL WAY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98023-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-945-4200
Provider Business Practice Location Address Fax Number:
253-945-4242
Provider Enumeration Date:
04/17/2014