Provider First Line Business Practice Location Address:
3105 SUMMITVIEW AVE STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98902-2391
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-930-7777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2013