Provider First Line Business Practice Location Address:
111 UNIVERSITY PKWY
Provider Second Line Business Practice Location Address:
STE. 202
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98901-1471
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-452-5100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2015