Provider First Line Business Practice Location Address:
PUGET SOUND HEALTH CARE SYSTEM
Provider Second Line Business Practice Location Address:
AMERICAN LAKE BLIND REHABILITATION CENTER, 112BRC/A
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98493-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-583-1220
Provider Business Practice Location Address Fax Number:
253-589-4081
Provider Enumeration Date:
09/02/2006