Provider First Line Business Practice Location Address:
25 N WENATCHEE AVE
Provider Second Line Business Practice Location Address:
#210A
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-2282
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-8744
Provider Business Practice Location Address Fax Number:
209-231-7130
Provider Enumeration Date:
07/12/2005