Provider First Line Business Practice Location Address:
2680 YAKIMA VALLEY HWY STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNNYSIDE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98944-1242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-839-3000
Provider Business Practice Location Address Fax Number:
509-839-1013
Provider Enumeration Date:
05/02/2021