Provider First Line Business Practice Location Address:
2501 2ND AVE N
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:
98109-1806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-282-3282
Provider Business Practice Location Address Fax Number:
206-216-3855
Provider Enumeration Date:
08/23/2006