Provider First Line Business Practice Location Address:
330 KING ST STE 5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-2857
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-881-4059
Provider Business Practice Location Address Fax Number:
833-879-7547
Provider Enumeration Date:
08/31/2012