Provider First Line Business Practice Location Address:
1211 EAST PIKE ST.
Provider Second Line Business Practice Location Address:
# 866
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-422-2232
Provider Business Practice Location Address Fax Number:
206-325-6793
Provider Enumeration Date:
04/09/2014