Provider First Line Business Practice Location Address:
500 E HOWELL 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:
98122-2140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-324-9877
Provider Business Practice Location Address Fax Number:
206-860-0905
Provider Enumeration Date:
02/12/2007