Provider First Line Business Practice Location Address:
3129 W SNOQUALMIE RIVER RD NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARNATION
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98014-8103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-588-0620
Provider Business Practice Location Address Fax Number:
425-200-0026
Provider Enumeration Date:
04/22/2006