Provider First Line Business Practice Location Address:
15600 NE 8TH SUITE Q2
Provider Second Line Business Practice Location Address:
C/O PARIS MIKI OPTICAL
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-641-7482
Provider Business Practice Location Address Fax Number:
425-641-5802
Provider Enumeration Date:
10/04/2006