Provider First Line Business Practice Location Address:
560 GAGE BLVD STE 101
Provider Second Line Business Practice Location Address:
KADLEC CLINIC SOUTH RICHLAND PRIMARY CARE
Provider Business Practice Location Address City Name:
RICHLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99352-9531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-628-2843
Provider Business Practice Location Address Fax Number:
509-628-3843
Provider Enumeration Date:
09/07/2006