Provider First Line Business Practice Location Address:
808 N 39TH AVE
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:
98902-6388
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-574-3400
Provider Business Practice Location Address Fax Number:
509-574-3464
Provider Enumeration Date:
07/08/2011