Provider First Line Business Practice Location Address:
1100 9TH AVE, X1-DTC
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:
98101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-223-6729
Provider Business Practice Location Address Fax Number:
206-583-6417
Provider Enumeration Date:
09/25/2012