Provider First Line Business Practice Location Address:
VAPSHCS - SEATTLE DIVISION
Provider Second Line Business Practice Location Address:
1660 SOUTH COLUMBIAN WAY, S-113RAD
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98108-1597
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-764-2444
Provider Business Practice Location Address Fax Number:
206-277-3415
Provider Enumeration Date:
10/04/2006