Provider First Line Business Practice Location Address:
1959 NE PACIFIC ST UWMC
Provider Second Line Business Practice Location Address:
BOX: 356154
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-598-0444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2014