Provider First Line Business Practice Location Address:
3900 S ZINTEL WAY FL 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENNEWICK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-942-3125
Provider Business Practice Location Address Fax Number:
509-585-8173
Provider Enumeration Date:
07/20/2006