Provider First Line Business Practice Location Address:
202 W YAKIMA AVE STE 200
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:
98902-3473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-454-3641
Provider Business Practice Location Address Fax Number:
509-575-2915
Provider Enumeration Date:
01/28/2016