Provider First Line Business Practice Location Address:
602 E. NOB HILL BLVD
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-453-7144
Provider Business Practice Location Address Fax Number:
509-248-6780
Provider Enumeration Date:
08/09/2007