Provider First Line Business Practice Location Address:
9206 ZIER 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:
98908-9243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-972-5900
Provider Business Practice Location Address Fax Number:
509-972-5901
Provider Enumeration Date:
04/14/2006