Provider First Line Business Practice Location Address:
13451 SE 36TH ST
Provider Second Line Business Practice Location Address:
FAC FACTORIA MEDICAL CENTER
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-562-1350
Provider Business Practice Location Address Fax Number:
425-562-1322
Provider Enumeration Date:
11/21/2007