Provider First Line Business Practice Location Address:
2611 SOUTH DEARBORN ST.
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:
98144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-325-6700
Provider Business Practice Location Address Fax Number:
206-325-4088
Provider Enumeration Date:
06/12/2008