Provider First Line Business Practice Location Address:
202 W YAKIMA AVE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
YAKIMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98902-3473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-863-4233
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/28/2016