Provider First Line Business Practice Location Address:
ALLERGY & ASTHMA SPECIALTY SERVICE, PS
Provider Second Line Business Practice Location Address:
11203 BRIDGEPORT WAY SW
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98499-3002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-589-1380
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/16/2007