Provider First Line Business Practice Location Address:
3810 PLAZA WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENNEWICK
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99338-2722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-221-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2023