Provider First Line Business Practice Location Address:
145 S WORTHEN ST
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:
98801-3081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-444-6580
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/14/2010