Provider First Line Business Practice Location Address:
1000 S. 12 AVE.
Provider Second Line Business Practice Location Address:
YVCC SHERAR GYMNASIUM
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98902-2521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-574-6822
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2007