Provider First Line Business Practice Location Address:
127 METHOW ST
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
WENATCHEE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98801-6923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-663-6866
Provider Business Practice Location Address Fax Number:
509-663-6016
Provider Enumeration Date:
01/11/2007