Provider First Line Business Practice Location Address:
3124 S. 19TH ST, SUITE 240
Provider Second Line Business Practice Location Address:
ALLENMORE MEDICAL CENTER BUILDING C
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-792-6111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2017