Provider First Line Business Practice Location Address:
PUGET SOUND HEALTH CARE SYSTEM A-119-NFS
Provider Second Line Business Practice Location Address:
9600 VETERANS DR
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98493-0003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-583-2364
Provider Business Practice Location Address Fax Number:
253-589-4126
Provider Enumeration Date:
06/26/2006