Provider First Line Business Practice Location Address:
500 UNIVERSITY PKWY # K-274
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:
98901-8221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-728-8220
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2020