Provider First Line Business Practice Location Address:
3999 ENGLEWOOD AVE STE 201
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:
98902-6335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-453-5300
Provider Business Practice Location Address Fax Number:
509-453-1200
Provider Enumeration Date:
11/01/2006