Provider First Line Business Practice Location Address:
33428 SE REDMOND FALL CITY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALL CITY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98024-0396
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-222-5121
Provider Business Practice Location Address Fax Number:
425-222-5311
Provider Enumeration Date:
02/27/2007