Provider First Line Business Practice Location Address:
PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
Provider Second Line Business Practice Location Address:
1700 13TH ST
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
306-371-9768
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2024