Provider First Line Business Practice Location Address:
16233 SYLVESTER RD #G10
Provider Second Line Business Practice Location Address:
HIGHLINE FOOT ANKLE CLINIC
Provider Business Practice Location Address City Name:
BURIEN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-242-6553
Provider Business Practice Location Address Fax Number:
206-246-0468
Provider Enumeration Date:
05/15/2006