Provider First Line Business Practice Location Address:
2121 N WENATCHEE AVE
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-1057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-293-7050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2013