Provider First Line Business Practice Location Address:
3639 MARTIN LUTHER KING JR WAY S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98144-6847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-695-7600
Provider Business Practice Location Address Fax Number:
206-805-8936
Provider Enumeration Date:
02/28/2012