Provider First Line Business Practice Location Address:
903 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98223-1697
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-435-0242
Provider Business Practice Location Address Fax Number:
360-435-9135
Provider Enumeration Date:
02/24/2009