Provider First Line Business Practice Location Address:
610 N MISSION ST STE 202
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:
98801-6611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-667-8828
Provider Business Practice Location Address Fax Number:
509-667-2339
Provider Enumeration Date:
12/10/2008