Provider First Line Business Practice Location Address:
830 SW 116TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98146-2257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-277-1311
Provider Business Practice Location Address Fax Number:
425-277-1566
Provider Enumeration Date:
07/05/2012