Provider First Line Business Practice Location Address:
6600 W NOB HILL BLVD
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:
98908-1976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-895-5366
Provider Business Practice Location Address Fax Number:
509-965-1890
Provider Enumeration Date:
09/03/2015