Provider First Line Business Practice Location Address:
4100 SUMMITVIEW AVE STE 101
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:
98908-2958
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-457-3388
Provider Business Practice Location Address Fax Number:
509-457-3399
Provider Enumeration Date:
01/17/2007