Provider First Line Business Practice Location Address:
PROVIDENCE ST. MARY MEDICAL CENTER 401 W. POPLAR ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALLA WALLA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99362-4619
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-897-2100
Provider Business Practice Location Address Fax Number:
509-897-5508
Provider Enumeration Date:
05/23/2008