Provider First Line Business Practice Location Address:
1508 E. MERCER 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:
98102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-252-3020
Provider Business Practice Location Address Fax Number:
206-252-3021
Provider Enumeration Date:
01/25/2013