Provider First Line Business Practice Location Address:
JOSEPHINUM 1902 2ND AVE, C/O CREW, SEATTLE WA 98101. 20
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:
98101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-956-9570
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2023