Provider First Line Business Practice Location Address:
602 N 39TH AVE
Provider Second Line Business Practice Location Address:
200
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-452-0279
Provider Business Practice Location Address Fax Number:
509-457-6306
Provider Enumeration Date:
01/03/2007