Provider First Line Business Practice Location Address:
4039 W. NOB HILL RD. BLVD.
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-823-4480
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2007