Provider First Line Business Practice Location Address:
3141 NACHES HEIGHTS RD
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:
98908-8822
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-930-3017
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2026