Provider First Line Business Practice Location Address:
25621 140TH AVE SE
Provider Second Line Business Practice Location Address:
KENT SCHOOL DISTRICT, MERIDIAN ELEMENTARY
Provider Business Practice Location Address City Name:
KENT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98042-3601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-373-3130
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2012