Provider First Line Business Practice Location Address:
336 CHARDINNAY AVE #A
Provider Second Line Business Practice Location Address:
KADLEC CLINIC PROSSER PRIMARY CARE
Provider Business Practice Location Address City Name:
PROSSER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-786-2002
Provider Business Practice Location Address Fax Number:
509-786-2026
Provider Enumeration Date:
07/02/2014