Provider First Line Business Practice Location Address:
6850 35TH AVE. NE
Provider Second Line Business Practice Location Address:
STE #9
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98115-7344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-508-5020
Provider Business Practice Location Address Fax Number:
206-527-8996
Provider Enumeration Date:
10/15/2011