Provider First Line Business Practice Location Address:
NORM MALENG BUILDING
Provider Second Line Business Practice Location Address:
410 9TH AVE, 4TH FLOOR
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-598-4025
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2019