Provider First Line Business Practice Location Address:
33431- 13TH PLACE SO.
Provider Second Line Business Practice Location Address:
FEDERAL WAY HEALTH CENTER
Provider Business Practice Location Address City Name:
FEDERAL WAY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98003-6357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-296-9889
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/08/2006