Provider First Line Business Practice Location Address:
560 GAGE BLVD STE 203
Provider Second Line Business Practice Location Address:
KADLEC CLINIC SENIOR HEALTH
Provider Business Practice Location Address City Name:
RICHLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99352-8650
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-942-3627
Provider Business Practice Location Address Fax Number:
509-942-2268
Provider Enumeration Date:
05/24/2011