Provider First Line Business Practice Location Address:
1010 NORTH 34TH AVE
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:
98902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-248-7768
Provider Business Practice Location Address Fax Number:
503-485-1279
Provider Enumeration Date:
05/02/2007