Provider First Line Business Practice Location Address:
1802 YAKIMA AVE STE 304
Provider Second Line Business Practice Location Address:
FRANCISCAN HEART & VASCULAR ASSOICATES
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98405-5305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-627-1244
Provider Business Practice Location Address Fax Number:
253-627-6576
Provider Enumeration Date:
04/30/2008