Provider First Line Business Practice Location Address:
8165 NE 150TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENMORE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98028-4742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-483-8614
Provider Business Practice Location Address Fax Number:
425-489-9095
Provider Enumeration Date:
03/08/2021