Provider First Line Business Practice Location Address:
7405 SALI 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:
98903-9247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-945-6463
Provider Business Practice Location Address Fax Number:
509-965-8629
Provider Enumeration Date:
01/05/2010