Provider First Line Business Practice Location Address:
1300 N. 1ST 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-853-4327
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/19/2015