Provider First Line Business Practice Location Address:
601 N 34TH ST
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98103-8603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-467-1000
Provider Business Practice Location Address Fax Number:
206-547-1963
Provider Enumeration Date:
04/29/2010