Provider First Line Business Practice Location Address:
VAPSHCS
Provider Second Line Business Practice Location Address:
1660 S COLUMBIAN WY,
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-764-2101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2006