Provider First Line Business Practice Location Address:
1901 S UNION AVE STE A211
Provider Second Line Business Practice Location Address:
ALLENMORE MEDICAL CENTER
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98405-1709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-627-2331
Provider Business Practice Location Address Fax Number:
253-305-0509
Provider Enumeration Date:
01/24/2007