Provider First Line Business Practice Location Address:
4000 27TH AVE W
Provider Second Line Business Practice Location Address:
LAWTON ELEMENTARY SCHOOL
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-252-2137
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/16/2015