Provider First Line Business Practice Location Address:
120 S. 72ND AVE, SUITE 102
Provider Second Line Business Practice Location Address:
HEALTHNOW WV
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98908-4200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-972-1259
Provider Business Practice Location Address Fax Number:
509-972-1258
Provider Enumeration Date:
03/31/2008