Provider First Line Business Practice Location Address:
207 E CHERRY ST
Provider Second Line Business Practice Location Address:
BUTLER HOUSE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-520-2283
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2007