Provider First Line Business Practice Location Address:
10310 GREENWOOD 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:
98133-2517
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-525-9800
Provider Business Practice Location Address Fax Number:
206-525-8344
Provider Enumeration Date:
02/19/2007