Provider First Line Business Practice Location Address:
6 S 2ND ST STE 710
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:
98901-2629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-480-1059
Provider Business Practice Location Address Fax Number:
509-452-2409
Provider Enumeration Date:
11/30/2007