Provider First Line Business Practice Location Address:
REYNOLDS MIDDLE SCHOOL
Provider Second Line Business Practice Location Address:
9507 BURNS RD
Provider Business Practice Location Address City Name:
PASCO
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-839-2667
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/18/2025