Provider First Line Business Practice Location Address:
1519 ALASKAN WAY SOUTH
Provider Second Line Business Practice Location Address:
USCG ISC SEATTLE HEALTH SERVICES
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-217-6400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2005