Provider First Line Business Practice Location Address:
32 N 3RD ST STE 418
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:
98901-2730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-952-7606
Provider Business Practice Location Address Fax Number:
509-457-4485
Provider Enumeration Date:
01/28/2011