Provider First Line Business Practice Location Address:
77 WAINWRIGHT DR VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
JONATHAN M WAINWRIGHT MEMORIAL
Provider Business Practice Location Address City Name:
WALLA WALLA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99362-9814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-440-3578
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2008