Provider First Line Business Practice Location Address:
210 S 72ND AVE STE 130
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:
98908-1689
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-453-3103
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2024