Provider First Line Business Practice Location Address:
200 PROSSER HEALTH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PROSSER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99350-7832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-645-5272
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2026