Provider First Line Business Practice Location Address:
66 N 6TH ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POMEROY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99347-0012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-843-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2007