Provider First Line Business Practice Location Address:
2800 FRANKLIN AVE E
Provider Second Line Business Practice Location Address:
APT 7
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98102-3023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-850-4777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/09/2013