Provider First Line Business Practice Location Address:
3727 CALIFORNIA AVE SW STE 2A
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:
98116-4303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-923-2225
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2006