Provider First Line Business Practice Location Address:
S 16TH AVE & NOB HILL BLVD
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-574-4600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2025