Provider First Line Business Practice Location Address:
32 N 3RD ST STE 435
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:
98901-2730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-225-9006
Provider Business Practice Location Address Fax Number:
949-703-8830
Provider Enumeration Date:
01/22/2022