Provider First Line Business Practice Location Address:
925 SEATTLE SLEW RUN
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-248-2973
Provider Business Practice Location Address Fax Number:
509-469-2556
Provider Enumeration Date:
06/25/2009