Provider First Line Business Practice Location Address:
200 UNIVERSITY PKWY
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:
98901-9539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-226-8462
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/19/2024