Provider First Line Business Practice Location Address:
2807 W WASHINGTON AVE STE 127
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:
98903-1367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-383-4325
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/01/2013