Provider First Line Business Practice Location Address:
6 N 6TH ST
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:
98901-4525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-249-3191
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2016