Provider First Line Business Practice Location Address:
2601 SW KENYON ST
Provider Second Line Business Practice Location Address:
NCH AT DENNY INTERNATIONAL MIDDLE SCHOOL
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-548-5850
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2006