Provider First Line Business Practice Location Address:
1000 DEXTER AVE N
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:
98109-3582
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-450-9474
Provider Business Practice Location Address Fax Number:
425-452-0704
Provider Enumeration Date:
08/09/2013