Provider First Line Business Practice Location Address:
PUGET SOUND HEALTH CARE SYSTEM AMERICAN LAKE DIV.
Provider Second Line Business Practice Location Address:
9600 VET. DR. SW
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98493-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-583-1810
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2006