Provider First Line Business Practice Location Address:
505 S 4TH AVE
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:
98902-3547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-453-2900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/25/2024