Provider First Line Business Practice Location Address:
6615 W ARGENT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASCO
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99301-1905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-547-9951
Provider Business Practice Location Address Fax Number:
509-547-3008
Provider Enumeration Date:
03/27/2007