Provider First Line Business Practice Location Address:
2201 W. DOLARWAY RD.
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
ELLENSBURG
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98926-3119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-925-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2007