Provider First Line Business Practice Location Address:
209 M L KING JR WAY
Provider Second Line Business Practice Location Address:
TSC-TACOMA MEDICAL CENTER
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98405-4265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-569-3300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2007