Provider First Line Business Practice Location Address:
120 N 50TH AVE STE B
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:
98908-2800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-574-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2022