Provider First Line Business Practice Location Address:
8 E WASHINGTON AVE STE 202
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:
98903-1683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-949-3095
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/11/2010