Provider First Line Business Practice Location Address:
11521 NE 128TH ST STE 100
Provider Second Line Business Practice Location Address:
EVERGREEN SENIOR HEALTH SPECIALISTS
Provider Business Practice Location Address City Name:
KIRKKLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98034-3098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-899-6800
Provider Business Practice Location Address Fax Number:
425-899-6806
Provider Enumeration Date:
05/20/2008