Provider First Line Business Practice Location Address:
8326 NE 187TH WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENMORE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98028-2825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-890-3075
Provider Business Practice Location Address Fax Number:
425-419-4700
Provider Enumeration Date:
02/20/2013