Provider First Line Business Practice Location Address:
3838 29TH AVE W
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:
98199-1748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-281-1205
Provider Business Practice Location Address Fax Number:
206-282-3548
Provider Enumeration Date:
11/12/2008