Provider First Line Business Practice Location Address:
2560 NE HOPKINS COURT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PULLMAN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99164-5022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-338-3800
Provider Business Practice Location Address Fax Number:
509-339-2702
Provider Enumeration Date:
08/24/2015