Provider First Line Business Practice Location Address:
720 8TH AVENUE SOUTH
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:
98104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-788-3607
Provider Business Practice Location Address Fax Number:
206-652-5216
Provider Enumeration Date:
09/23/2015