Provider First Line Business Practice Location Address:
106 E E ST
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:
98901-2312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-961-3849
Provider Business Practice Location Address Fax Number:
509-426-2160
Provider Enumeration Date:
02/07/2006