Provider First Line Business Practice Location Address:
7217 S TAFT STREET
Provider Second Line Business Practice Location Address:
ONE HEART HEALTHCARE LLC
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98178-2627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-579-7454
Provider Business Practice Location Address Fax Number:
206-772-4703
Provider Enumeration Date:
07/28/2006