Provider First Line Business Practice Location Address:
2100 E UNION ST
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:
98122-2954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-518-8938
Provider Business Practice Location Address Fax Number:
206-329-2357
Provider Enumeration Date:
07/08/2009