Provider First Line Business Practice Location Address:
620 N 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:
98902-1500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-930-5536
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2023