Provider First Line Business Practice Location Address:
600 NORTH 36TH ST
Provider Second Line Business Practice Location Address:
214
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-330-9282
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2014