Provider First Line Business Practice Location Address:
202 N DIVISION ST
Provider Second Line Business Practice Location Address:
PLAZA ONE
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98001-4939
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-963-5339
Provider Business Practice Location Address Fax Number:
253-288-2203
Provider Enumeration Date:
11/02/2006