Provider First Line Business Practice Location Address:
702 E. FRANKLIN AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNNYSIDE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98944-0997
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-837-7700
Provider Business Practice Location Address Fax Number:
509-838-7311
Provider Enumeration Date:
08/14/2013